Contact Form Refugees – LGBT Asylum Support

Contact form for asylum seekers

This contact form makes it easier for us to receive basic crucial information that we would need when helping you in your matters. Please fill it out carefully and we will contact you as soon as possible!

If you are here to report discrimination, please do not forget to fill out the last field of the form.

IMPORTANT: if this form gives any errors when filling/sending, please send your answers on info@lgbtasylumsupport.nl and we will contact you soon.

Personal Information

Date of birth

Pronounces:

Applied together with:

NIDOS contact (only for minors):

Information about your AZC stay

I am staying in an LGBTI-unit

Asylum Procedure
When did you apply for Asylum?
First procedureSecond procedureOther

Lawyer

I need a lawyer

What do you need help with?ProcedureHealthOther

Personal background and skills

What field are you studying or you have studied before?

What field are you working in or have you worked in before?

What skills do you have or want to do as a volunteer?
What languages do you speak?

By filling in this information, I am aware that as an LGBTI refugee in the Netherlands I want to join the activities, the network and the knowledge that is available via LGBT Asylum Support. I hereby give permission for the foundation to save my data. LGBT Asylum Support may consult my lawyer and contact COA* on my behalf. I can withdraw this consent at any time by sending an email to info@lgbtasylumsupport.nl.

* In case you feel unsafe or discriminated at your AZC, LGBT Asylum Support can bring out a signal on behave of you. The COA needs to react to this.