Victim of (check all that apply)
Current Status (check all that apply)
*Only governments that USCIRF recommends as “countries of particular concern” (CPCs), "special watch list" (SWLs), “entities of particular concern” (EPCs). For a list of USCIRF-recommended CPCs, SWLs, EPCs, and further information on the standards used, see http://www.uscirf.gov/.
Victimized based on (check all that apply)
Should this case be kept confidential?

Submitter Information (for internal use only)

Victim Information

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png.
Has case gone to trial?
Was Victim Denied Legal Representation at Any Time
Please include specific information on the religious nature of the persecution experienced, including details about any instances of imprisonment, detention, forced disappearances, house arrest, torture, or forced renunciations of faith.
E.g. does victim has a spouse, children, or other dependents, health concerns, time urgency.
If you have a large number of submissions and would like to avoid filling out individual forms for each victim, please download this spreadsheet and fill in as much information for each victim as you can. The required sections are denoted in green. Once done, you may send it to [email protected]