I.
Date(s)of violation: ---/-------/---- (through ---/-------/----)
Time(s)of violation: ---/-------/---- (through ---/-------/----)
Date you began this record:--/--/---- Date you completed this record: --/--/----
Identifytype of violation:
Bulldozing
erosion
Exact location anddimensions of affected land plot:
Plot number: --------
Area of plot: ------- (landarea measured in units of ------); equivalent in sq. meters: ------
Type of area: urban
II.
II.A
What is thecommonly known name of the community? -----------------------------
Does the communityhave another name for themselves? What is it?
Give the preciselocation of the affected group or community:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
| What is the community’s total population? | | | | | | |
| | | | | | | |
| What number and/or proportion of the individuals in the community affected? | | | | | | |
| | | | | | | |
| How many families in the community? | | | | | | |
| | | | | | | |
| What number and/or proportion of families affected? | | | | | | |
| | | | | | | |
| In the community, how many affected people are male? | | | | | | |
| | | | | | | |
| In the community, how many affected people are female? | | | | | | |
| | | | | | |
Also identify the numbers and/orproportions of children, minorities, persons with special needs (medicalconditions, disability, elderly) and those subject to historic discrimination:
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II.B
Residents:
Listall residents: -------------------- ---------- (age)----
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Also identify the numbers and/orproportions of children, minorities, persons with special needs (medicalconditions, disability, elderly) and those subject to historic discrimination:
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Type of land tenure:
Is victim also householdprovider? Yes
If no, name provider:--------- -------- ----- Isprovider also resident? Yes
Ifno, give contacts:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Other:
Number of persons whoselivelihood depends on the land plot: -------
If those depending on theland are not owners, identify the actual landowner:
Fullname of landowner:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Other:
Type of land tenure:
Means ofdamage/destruction: bulldozer
Identify type and origin ofdestructive means: Brand/company ofmanufacture: --------------
Model: -------------
Direction of violation(from): military base
other
IV. Dutyholder(s):
Status of principalperpetrator: private actor
Identity of principalperpetrator, or immediately responsible public official/officer:
Armed service branch: -------------------
Address
P.O.Box: -----------------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Tel:
Fax:
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Commander/superiorofficer:
Fullname: --------- --------- ---------- Title: ----------
Armed service branch: -------------------
Address
P.O.Box: -----------------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Tel:
Fax:
Other:
Identity of principalperpetrator, or immediately responsible private party:
Name:----------- ---------- ---------- Title: ----------
Identification no.------------------- Type of document: ---------------
Relationship to victim(s), ifany: -------------------
Organization:
Address
P.O.Box: -----------------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Tel:
Fax:
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Whoordered the violation (if different from principal perpetrator)?
Full name:-------------------- --------------------------
Nationality (andcitizenship, if different): -------------------
I.D. number:-------------------- Type of document: -----------
Organization:
Address
P.O.Box: -----------------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Tel:
Fax:
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What reasons, if any, have thoseresponsible (duty holders, violators) given for the violation?
Who gave thosereasons?
I.D. number:-------------------- Type of document: -----------
Contactinformation:
Organization:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
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IV.A
Company:
CEO:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Other:
IV.B
Company:
CEO:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Other:
IV.C
Company:
CEO:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Other:
V. Documentingconsequences:
Land area affected: ----(measured in units of ------); equivalent in sq. meters: ------
At the time of the violation,was the land cultivated q
Land Rights Violation “Loss Matrix” | ||||
| Type and description of cost/loss | Quantification method | Values/ Losses | Long-term values/ losses | Totals |
| Victims’ Material Losses | ||||
| Plot | ||||
| | current market value (before violation) | | | |
| Trees | ||||
| Fruit bearing trees | type & number @ production value + replacement value | | | |
| Ornamental | type and number @ replacement value | | | |
| Functional (e.g., demarcating land) | type and number @ replacement value | | | |
| Crops | ||||
| Vegetables | planted area @ harvest value + replacement value | | | |
| Grains | planted area @ harvest value + replacement value | | | |
| Flowering plants | planted area @ harvest value + replacement value | | | |
| Other | planted area @ harvest value, if any, + replacement value | | | |
| Infrastructure | ||||
| Irrigation | current replacement value of installations | | | |
| Climatic controls[1] | current replacement value of installations | | | |
| Fencing | type (chain link, stone, etc.) by height and length and replacement value + reinstallation costs | | | |
| Gates | type (chain link, iron, stone, wooden, etc.) by height and length and replacement value + reinstallation costs | | | |
| Water & irrigation | type and current replacement values of delivery system, or alternative + cost of interim substitute sources | | | |
| Water pumps | type and current replacement values | | | |
| Storage tanks | type (material structure and intended contents) and current replacement values | | | |
| Other structures (sheds, toilets, rest huts, etc) | type, materials, size, contents and current replacement values | | | |
| Hives | current replacement values | | | |
| Sprinkler system | type and current replacement values | | | |
| Investment | ||||
| Fertilizer, pest control, etc. | short and long-term returns expected from values | | | |
| Land improvements | market cost of actual labor invested over determined period | | | |
| Security protection systems | values invested | | | |
| Education, vocational training, etc. | short and long-term returns expected from values invested | | | |
| Animal/livestock | ||||
| Household pets | @ replacement value + sentimental value | | | |
| Cattle | market value at maturity | | | |
| Sheep | market value at maturity | | | |
| Goats | market value at maturity | | | |
| Poultry | market value at maturity | | | |
| Horses | market value at maturity and/or utility value | | | |
| Donkeys & mules | market value at maturity and/or utility value | | | |
| Insects (e.g., bees) | productive value + replacement value | | | |
| Other | ||||
| | market value at maturity and/or utility value + replacement value | | | |
| Subtotals | | | | |
| Victims’ Nonmaterial Losses | ||
| Health | | |
| Living space | | |
| Reconstruction licensing | | |
| Psychological harm | | |
| Disintegration of family | | |
| Loss of community | | |
| Heritage | | |
| Environment/ecology | | |
| Standing/seniority | | |
| Political marginalization | | |
| Social marginalization | | |
| Further vulnerabilities | | |
| Other | | |
| Other-than-Victims’ Material Costs | ||
| Police | | |
| Bulldozers | | |
| Lawyers | | |
| Army | | |
| Other forces | | |
| Bureaucratic and personnel costs | | |
| Other | | |
| Subtotal | | |
| Other-than-Victims’ Nonmaterial Costs | ||
| Social costs | | |
| Civic order | | |
| Political legitimacy | | |
| Total material costs/losses | |
How does the total of this materialloss compare with the victim’s annual household income?
| Total losses ¸ annual household income = years of labor & investment |
What is the water source forthe cultivated land plot? Pipedwater
What type of tenurearrangement do you have over these sources? Private ownership
Were water sources damagedor destroyed in course or aftermath of the violation? If so, was thisdamage/destruction total q
What type irrigation networkexisted on the land: canals q
What are the specificationof the irrigation canals? Length---- meters,
What are the specificationsof the irrigation pipes (including drip irrigation)?
What is the total
Were irrigation poolsdamaged or destroyed in the violation? Yes q
From what type a materialare the pools constructed: metal q, synthetic/plastic
Can you access this landnow? If not, what is preventing you? Armed forces q
Does the topsoil remain onthe land? If not, has it been bulldozed into a heap on the land site
Who has undertaken theinvestment in land improvements over the past five years? The landowner(s)
VI. Responses
VI.A
Did the victims receive aidfrom any party? If Yes, is the assistance coming from a government body
Please identify the aidorganization(s) and the type(s) of aid provided.
Organization name:
Contactperson: ----------------- ----------
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Describe the type of aidor service provided: ------------------------------------------
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VI.B
Has any media agencyinvestigated and/or reported on this case? Yes
Name:
Title/position:
Mediaagency: ----------------- ----------
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
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VI.C
Has a legal case been raisedby, on behalf of the victims? Yes
Are victim(s) involved inthe case as plaintiffs q
Is the dispute being resolvedoutside of court? If so, by what method? ----------------------
If you have not raised asuit, are you considering to do so? Yes
If a current case is beforethe courts, please provide some basic details:
Casenumber: -------------- Court:------------- Judicial district:-------------------
Datefiled: --/--/---- Date decided:--/--/---- (Settlement date, if outof court,: --/--/----)
Presidingjudge(s):
(1) ------- ------- --------(2) ------- ------- -------- (3) ------- ------- --------
Fullname of prosecuting attorney:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone:
Fullname of defense attorney:
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communication numbers:
Resultsof case (if any):
Othercomment:
Has there been an appeal inthe case? Yes q
Would you consider mountingan appeal in this case? Yes q
VII.
Victim/affected person:--------------------------- Date:--/----/----
Other person filing this form:-----------------------
Relationshipto victim/affected person:
Organization:
Position: ----------------------------
Streetaddress: -----------------------
P.O.Box: -------------
City/town/village:
District/region:
State/country:
Communicationnumbers: Telephone: