You may Submit a Report by:

Personal Information

Name Phone Number Email Address

District Name Village/Community


Report Details

1) Explain the issues you are facing because of the earthquakes.

2) Do you need assistance, and if so, what kind?

3) Are there any government agencies or NGOs working in your area to provide this aid?

4) Have you received your government entitlements?

Yes
No

5) If you have observed any mismanagement around relief efforts in your area, please include the details here. Be as specific as possible in explaining who is involved and what happened.