Sign Up
Login
Home
Debug: /api/evacuations/survey/form/ | /welfare/report/
Application for Evacuation
Request a Service
FAQs
Resources
Request a Service
After submitting your case, you will receive a case number via email for tracking purposes.
Case Type
*
---------
Emergency Evacuation
Arrest
Death
Missing Person
Distress
Human Trafficking
Deportation
Repatriation of Mortal Remains
Survivor Benefits
Others
Full Name
*
Email
*
Your case number will be sent to this email address.
Phone Number
*
Location
*
Details of Person Arrested
Name
*
Passport No. (if any)
Country Where Arrest Happened
*
Next of Kin (Kenya)
Next of Kin in the Country
Contact of Next of Kin
Details of the Person Missing
Name
*
Passport No
ID No
Details of Next of Kin in Kenya
Name of Next of Kin in Country (where missing)
Telephone No
Details of Deceased Person
Name
*
Passport No
ID No
Country Where Death Occurred
*
Home County in Kenya
Details of Next of Kin
Name of Telephone No
Next of Kin (Blood relationship required)
Details of the Deceased
Name
*
Passport No
*
ID No
Home County in Kenya
*
Next of Kin in Kenya
Next of Kin in Foreign Country
Country the death occurred
*
Describe the circumstance of the death
Details of Distressed Person
Name
*
Passport No
ID No
Home County in Kenya
Next of Kin in Kenya (Name & Tel. No)
Next of Kin in Distressed Country (Name & Tel. No)
Country of distress
*
Nature of the distress (describe to how, disputes, harassment, etc)
*
Details of Trafficked Person
Name
*
Passport No
ID No
Home County
Next of Kin in Kenya (Name & Tel. No)
Contact Person in the Country Trafficked to
Explain in detail how the trafficking occurred
*
Details of Person Reporting
Name
*
Tel. No
*
Email address
*
What assistance do you need from SDDA?
*
Describe the assistance needed (e.g., long textbox to describe the assistance needed)
Additional Information
Please provide any additional details about the case.
Supporting Document
Attach any relevant document (e.g., death notification, ID copy, etc)
Submit Case
