Request for Review Cover Form - Global Affairs Canada · 2012-06-14 · Request for Review Cover...
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May 2012 Review Process of the Office of the Extractive Sector Corporate Social Responsibility (CSR) Counsellor Accessible, Effective, Independent, Transparent, Responsive, Predictable Request for Review Cover Form INSTRUCTIONS: Use this form to initiate a Request to the Office. Complete both sides of the form. Incomplete applications will be returned to you for completion. We can only accept documents in English or French. ABOUT THE PROCESS: The Office of the CSR Counsellor is new. It was set up as part of a Government of Canada initiative to enhance the social and environmental performance of Canadian mining, oil and gas companies operating abroad. This Office delivers a new option for constructive resolution of disputes between overseas Canadian mining, oil and gas companies and project-affected communities. Our problem-solving tool, called the Review Process, is about dialogue and creative problem-solving. It is about people with different views and interests working together to find mutually acceptable solutions to resolve disputes or issues. If this voluntary approach is of interest to you, bring your Request to the Office by filling out this form and sending it to us. PART A: PLEASE ANSWER THE FOLLOWING QUESTIONS: You must fall under one of two categories to bring a Request for Review to the Office. Please confirm the following: CATEGORY 1: o Are you a project-affected individual, group or community? Yes No o Do you have a dispute or concern connected with the operations of a Canadian extractive sector company outside of Canada? Yes No o Did the activity occur after October 2009? Yes No o Are you willing to enter into constructive dialogue with the company? Yes No o Have you previously attempted to resolve the dispute? For example, have you tried a local grievance mechanism, if one exists? Yes No If you have answered “Yes” to all questions, proceed to PART B. If you have answered “No” to any of these questions, please contact us for more information. -OR- CATEGORY 2: o Are you a Canadian mining, oil or gas company with a headquarters or incorporated in Canada? Yes No o Does this request relate to a project outside of Canada? Yes No o Do you have a dispute or issue with project-affected stakeholders? Yes No o Are you willing to enter into constructive dialogue with these stakeholders? Yes No o Have you previously attempted to resolve the dispute? Yes No If you have answered “Yes” to all questions, proceed to PART B. If you have answered “No” to any of these questions, please contact us for more information.
Transcript of Request for Review Cover Form - Global Affairs Canada · 2012-06-14 · Request for Review Cover...
May 2012
Review Process of the Office of the Extractive Sector Corporate Social Responsibility (CSR) Counsellor
Accessible, Effective, Independent, Transparent, Responsive, Predictable
Request for Review Cover Form INSTRUCTIONS: Use this form to initiate a Request to the Office. Complete both sides of the form. Incomplete applications will be returned to you for completion. We can only accept documents in English or French.
ABOUT THE PROCESS:The Office of the CSR Counsellor is new. It was set up as part of a Government of Canada initiative to enhance the social and environmental performance of Canadian mining, oil and gas companies operating abroad. This Office delivers a new option for constructive resolution of disputes between overseas Canadian mining, oil and gas companies and project-affected communities. Our problem-solving tool, called the Review Process, is about dialogue and creative problem-solving. It is about people with different views and interests working together to find mutually acceptable solutions to resolve disputes or issues. If this voluntary approach is of interest to you, bring your Request to the Office by filling out this form and sending it to us.
PART A: PLEASE ANSWER THE FOLLOWING QUESTIONS:
You must fall under one of two categories to bring a Request for Review to the Office. Please confirm the following:
CATEGORY 1: o Are you a project-affected individual, group or community? Yes No
o Do you have a dispute or concern connected with the operations of a Canadian extractive sector company outside of Canada? Yes No
o Did the activity occur after October 2009? Yes No
o Are you willing to enter into constructive dialogue with the company? Yes No
o Have you previously attempted to resolve the dispute? For example, have you tried a local grievance mechanism, if one exists? Yes No
If you have answered “Yes” to all questions, proceed to PART B. If you have answered “No” to any of these questions, please contact us for more information.
-OR- CATEGORY 2:
o Are you a Canadian mining, oil or gas company with a headquarters or incorporated in Canada? Yes No
o Does this request relate to a project outside of Canada? Yes No
o Do you have a dispute or issue with project-affected stakeholders? Yes No
o Are you willing to enter into constructive dialogue with these stakeholders? Yes No
o Have you previously attempted to resolve the dispute? Yes No
If you have answered “Yes” to all questions, proceed to PART B. If you have answered “No” to any of these questions, please contact us for more information.
PART B: PLEASE PROVIDE ADDITIONAL INFORMATION:
1. What is your name and what is the best way to contact you?
2. Do you want your identity kept confidential at this time? (Note, the Office of the CSR Counsellor cannot accept
anonymous requests, but we can keep your name confidential.)
3. Is there an organization that is assisting you or representing you in this process? If so, what is the name of the organization and what is the best way to contact them? (Proof of representation is required. This may be a letter or list of signatures giving approval to the representative.)
4. What is the name of the other party?
5. Where is the project located?
6. What is the nature of the dispute or issue? (The Office deals with social and environmental issues. These issues
must be connected with at least one of the four endorsed international CSR standards. See our website or contact us for more information.)
7. There will be further opportunities to share information with us. But, if there is additional information you
would like to share now, please include it with this form. (This is not mandatory.) IMPORTANT: Please do not share any confidential information with us at this time. For more information, refer to Guidance note no. 1 on transparency and confidentiality, available on our website, or contact us.
8. Your signature __________________________________________________________________ Date: ____________________________________
SEND YOUR COMPLETED FORM, BY EMAIL, MAIL OR FAX, TO:
Office of the Extractive Sector CSR Counsellor Government of Canada 1 Front Street West, Suite 5110 Toronto, Ontario M5J 2X5 Canada Tel: +1-416-973-2064 Fax: +1-416-973-2104 Email: [email protected] Visit: www.international.gc.ca/csr_counsellor- conseiller_rse
YOUR PERSONAL INFORMATION IS IMPORTANT TO US. Personal information collected for the Review Process will be used to establish contact between the Office of the Extractive Sector Corporate Social Responsibility (CSR) Counsellor and the Requester and the Responding Party, to assess the eligibility of the Request for Review (written submission), and to carry out the review to completion. The identity of the Requester and the Responding Party will be made public in the online Request for Review Registry. A Requester can ask that their identity not be included in the online Registry. The identity of the Requester will be provided to the Responding Party, subject to a request for confidentiality. The identity of parties to the Review Process will be shared with Canada’s National Contact Point. This information will be protected in accordance with the federal Privacy Act and may be accessed referring to the personal information bank described in InfoSource as DFAIT PPU 906.
May 2012
