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Activist Support Platform

You are safe here. Please fill out the essential details below so we can match you with support. You do not need to provide lengthy documentation at this stage. Please note that as an early-stage initiative, a match is not guaranteed and immediate assistance may not be available. Disclaimer: Any support provided is facilitated by independent corporate partners, not our organization. Heal Earth Alliance supported by UAF acts solely as a connector and assumes no liability for the services, or outcomes provided by these independent third parties.

What is your name?

What is the safest way for our navigators to contact you?

What is the safest way for our navigators to contact you?
A
B

Secure Contact Information (email or number please write here)

What type of emergency assistance do you require immediately?

What type of emergency assistance do you require immediately?
A
B
C

If you selected Legal Assistance, what is the primary threat?

If you selected Legal Assistance, what is the primary threat?
A
B
C

If you selected Emergency Accommodation, what is the primary threat?

If you selected Emergency Accommodation, what is the primary threat?
A
B

Current General Location or Timezone (where support is required). Please do not provide an exact address or coordinates

This platform is made possible by the support of the Urgent Action Fund (UAF).