Registration form

Did you work at a US military camp in Iraq, Afghanistan or elsewhere? Fill in this form and we will review your details and contact you.

Fields marked * are required. You can leave anything you don't know blank. Your information is kept private and encrypted. This form is free.

1 Personal details

Full name * Phone number * WhatsApp number Email Address District / province Date of birth Gender Education Passport number Marital status Spouse name Children names and age Current occupation

2 Work details

Country of employment Employer (company) Assigned or deployed in (camp / base) Position Monthly salary (US$) Date you left home for this job Start date End date Last date you received pay Last date you left Iraq / Afghanistan Date you arrived home Reason for leaving

If you don't remember exact dates, give your best guess and explain in the incident section.

3 What happened and how you are now

What happened? (incident report) What problems do you have now? Since when? Names (and phones) of two witnesses

4 Consent and send

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