A3 SAMPLE INDIVIDUAL COMPLAINT FORM 3. Which state structure/institution is the perpetrator of the violation? 4. What kind of violation took place? 5. When did the violation take place? 6. Has the victim applied to a court? If yes, which court? At what stage are the court proceedings? (Please attach copies of court decisions, if any exist.) 7. Does the victim have a lawyer? If yes, please give his/her contact information (phone/address/fax/e-mail): 120