Provisional Information Request

Thank you for approaching REDRESS in relation to this case. REDRESS is a small human rights organisation based in London and The Hague. Where we can, we seek to help torture survivors obtain justice and reparation. Our mission is: i) to deliver justice and reparation for survivors of torture, ii) to challenge impunity for perpetrators, and iii) to advocate for legal and policy reforms to combat torture.

Given our size we only take on a few new cases every year. Whilst investigating your case, we will be polite and considerate, keep your information confidential, and not discriminate against anyone. If REDRESS is able to take on this case, we will put your interests first when representing you, treat all our clients fairly and, make every effort to provide relevant and realistic advice.

To help us consider whether or not we can take on your case, please answer as many questions as possible in the form below. Please do not worry if you are unable to fill in some of the questions, complete as many as you can.

Once the form has been submitted, we will review the information as soon as we can and then let you know whether or not we can take on your case. This process can take several weeks.

YOUR CONTACT INFORMATION

Title and name*

Title First Name Family Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home number

Work number

Mobile number

Fax number

Email

I am happy for REDRESS to contact me by:*

Post
Phone
Email

ADDITIONAL INFORMATION

Do you need an interpretation from English?

Yes
No

Which language do you need an interpretation for?*

What is your gender?

Male
Female
Unspecified

Date of birth

Place of birth

Nationality at birth

Ethnicity

Nationality(ties)

Please indicate your current location.

Including address where available.

Date of arrival in current location

Please indicate your residential status.

Please indicate your marital status and if you have children.

STEPS ALREADY UNDERTAKEN (IF RELEVANT)

Facts alleged: description of torture, when and where it occurred, by whom (names of authorities or individuals), and what happened.

Brief details of any action already undertaken to seek justice, accountability and reparation in the State where the torture occurred.

Brief details of any action(s) already undertaken to seek justice, accountability and reparation in your home State, if different from above.

Brief details of any remedies, reparations, or awards already made, if applicable, in the State where the torture occurred.

Brief details of any medical or psychological reports relating to torture obtained in/from the State where the torture occurred.

Brief details of any other documentation of the torture available (photographs, witness statements or a list of people willing to provide statements; links to YouTube or other online videos; links to reports by NGOs or other bodies referring to the case).

File

Drop files here or

Use of the information

Our use of the information you provide is subject to your instructions, the Data Protection Act 1998 and our duty of confidentiality. If we need to speak with and provide information to third parties (such as experts or other professional advisers) we will always put in place a confidentiality agreement with these individuals. If however, you do not want your case to be disclosed to individuals outside the organisation, please tell us in advance.*

I am happy for REDRESS to speak with and provide information to third parties.
I prefer my information not to be disclosed to third parties.