Document a Humanitarian Case | Alawites Organization

🔔 Do you already have a registered case?

You can add new information or evidence using your Case Number and Follow-up Code.

🔒 Privacy & Security

This form is fully secure and confidential. All submitted data is stored in a protected system and is not shared with any external party without your explicit and prior consent.

You may report: using your real name, using an alias, or without providing any sensitive identifying information.

Sharing information with international or human rights entities only occurs if you choose so, and your real name will never be disclosed in any case.

📄 Case Documentation Form

* Fields marked with a red asterisk are mandatory to ensure proper documentation of the case.

Type of name used: *

Full name or alias: * You may enter your real name, an alias, or any name you feel safe using.

Date of birth:

Sect / Community:

Place of residence (Country / City): * Enter your current country and city, or your last place of residence if displaced.

Phone number / WhatsApp:

Email address:

Spouse name:

Number of children, their names and ages:

Is there a direct threat?

Type of violation: *

Description of the threat or violation: * Describe what happened in detail: what occurred, when, who was affected, and how it impacted you or your family. Write freely in your own words.

Responsible party for the threat (if known):

Date or period of the threat:

Locations where violations occurred (if any):

Are there individuals suffering psychological or health impacts?

Additional psychological or social impact details: You may explain any psychological or social consequences such as persistent fear, anxiety, depression, job loss, social isolation, or family difficulties. This field is optional and used only to better understand your situation.

Do you believe this case is part of a recurring pattern?

Case sensitivity level: *

Documents and evidence (photos, reports, etc.): You may upload photos, reports, messages, or any file supporting your account. File upload is optional and can be added later.

⚠️ Important notice:
The following consents are optional (except case documentation), and can be withdrawn at any time through the organization’s team.

I agree to document this case within the organization’s records. *

I agree to share my case with external human rights organizations (without mentioning my real name).

I agree to use my story in advocacy reports or campaigns (non-public).

⚠️ After submitting the case, you will receive a Case Number and a Follow-up Code.
Please keep them to add any future information.