Emergency Relief Application

Personal information

Given name

Family name

Phone number (for urgent contact)

Current location

For example, Block/Section number, Dzaleka Refugee Camp

Number of family members

Type of assistance needed

Emergency situation

Describe your emergency situation and immediate needs

Urgency level

Immediate: need help within 24 hours

Urgent: need help within 2-3 days

Soon: need help within a week

Current support

Receiving support from UNHCR

Receiving support from other NGOs

Document links (optional)

Upload your documents to Google Drive or another file sharing service and paste the links below. Make sure the links are accessible.

Paste your document links here, one per line

Information consent

I confirm that the information provided is accurate and consent to its use for processing my emergency assistance request.