Report Vulnerable Communities

We ask all members to identify the most vulnerable areas and places in each nation in order to reach this sector of the population immediately to provide emergency relief. We ask you to kindly complete this registration form.

- Step 1 of 2

Your Name *

First

Last

Your Email *

Confirm Email

Your Phone or WhatsApp/Telegram/Signal number *

Location of the community *

Address Line 1

City

State / Province / Region

Postal Code

Country

Name of the community. *

Contact information for a representative of this community. *

First

Last

Contact phone number or WhatsApp/Telegram/Signal for the representative. *

Contact Email address for the representative.

What resources does the community lack? *

Water
Energy
Shelter
Food
Health
Transportation
Infrastructure
Other

Please explain

If you choose the option "Other", please explain why.

What social or environmental issues are impacting the community? *

Earthquakes
Floods
Volcano eruptions
Hurricane
Refugees
Human trafficking
Drug abuse
Domestic abuse
Child abuse
Organ trafficking
Prostitution
Transhumanism
Street violance
Weapons
Other

Please explain

If you choose the option "Other", please explain why.

Do you want to add any other comment? *

Please confirm GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Please, provide your answer below. *

All informations and data on the website are under high security firewall protection, and without your permission will not be shared with any 3rd party. Please read Privacy Policy and Terms of Service for more information.