REPORT A VIOLATION FORM FOR GUESTS

Welcome, Guest, please fill up the form below. All boxes marked * are required.

SOURCE DETAILS
Name or Alias:	*	Source Type:	Primary \| Secondary
Email:	*	Group/Organization:	*
Comments and other details:

EVENT (INCIDENT) DETAILS
Event Title:	*	Country/Destination:	*
Number of Victims:	* Number of Victims :: Please enter a number in numeric format.	City/Town:
Date of Incident:		Date Reported:
Confidential?:	Yes \| No *	Date Resolved:
Migration Stage:	Migration Stage :: CTRL + Click to indicate multiple selections
Specific Migrant Rights Violation:
Specific MRV :: Press CTRL then Click to choose multiple selections.
Basic Migrant Rights Affected:
Migrant Rights Affected :: Press CTRL then Click to choose multiple selections.
Short Description of Event:

INFORMATION on VICTIM(S)
Please select the number of victims:
GROUP VICTIMS SINGLE VICTIM

GROUP VICTIM DETAILS
Group Name:		Number of Men:
Nationality Mix:		Number of Women:
Occupation Mix:		Number of Children:
Additional Information:

INDIVIDUAL VICTIM DETAILS
Full Name or Alias:		Civil Status:
Age:	Age of Victim :: Please enter the age in numeric format.	Sex:	Male \| Female
Nationality:		Religion:
Identity Status:		Occupation:
Address 1:		Employer:
Address 2:		Employment Contract No.:
Languages Spoken:		Latest Status as Victim:
Additional Information:

INFORMATION on PERPETRATOR(S)
Please select the number of victims:
GROUP PERPETRATORS SINGLE PERPETRATOR

SINGLE PERPETRATOR DETAILS
Full Name or Alias:		Involvement:
Age:	Age of Perpetrator :: Please enter the age in numeric format.
Group/ Organization:
Nationality:		Personality:
Sex:	Male \| Female	Licensed? (if recruiter):	Yes \| No
Additional Information:

GROUP PERPETRATOR DETAILS
Number of Perpetrators:	Number of Perpetrators :: Please enter a number in numeric format.	Group Name:
Full Names or Aliases:	Full Names or Aliases :: Please type in the names of the perpetrators. Press Enter after every name.	Personality Mix:	Personality Mix :: Press CTRL + Click for multiple select.
Full Names or Aliases:		Nationality Mix:
Additional Information:

IMAGE VERIFICATION
Please type in the letters you see on the image before submitting.

Select MRV
01-Non-deployment: failure to send the worker abroad as promised.
02-Trafficking
03-Fees: excessive fees charged by the recruiters and placement agencies and agents.
04-Information: false or misleading information provided by the recruiter or employer to the worker.
05-Force separation-the receiving disregards the right of the worker and family members to live in the same state or to visit
06-Forcible confinement - the worker is physically confined to his/her place of work or other location.
07-Restricted mobility - the worker is not allowed to move about freely.
08-Confiscation of documents - confiscation/deprivation of the worker's passport/travel/identity documents.
09-Choice of residence - the worker is denied the right to choose his/her own place of residence.
10-Renewal of documents: the worker has difficulty renewing visas or work permits.
11-Forced labour - all work that is involuntarily exacted from a person under the threat of any penalty.
12-Debt bondage - situations that force a person to work for an employer in order to pay debts.
13-Contract substitution - the worker is forced to sign/accept a new contract upon arrival in the country
14-Wages - the worker is not payed for work performed or payment is delayed. The worker is underpaid.
15-Deductions - illegal deductions are made from the worker's salary. (e.g. placement fees or compulsory savings).
16-Benefits - the worker is denied benefits to which he/she is entitled.
17-Dismissal - worker is dismissed without cause, notice and/or benefits
18-Employment discrimination - any distinction/exclusion/preference made on prohibited grounds of discrimination.
19-Scapegoating/racism in the media directed towards migrant workers.
20-Benefits & services - the worker/family are denied access to social security and other social benefits.
21-National standards do not apply to migrant workers and families such as minimum wage.
22-Choice of employment - the worker is denied the right to change employer or employment.
23-Freedom of association - the worker's right to join or form a worker's organization is infringed.
24-Extra tasks-the worker is forced to perform tasks for which s/he was not recruited and /or not stipulated in the contract
25-Hours - the worker has excessive or irregular working hours.
26-Leisure - the worker is given no or insufficient leisure hours.
27-The worker is not provided with adequate occupational health and safety information or training in his/her own language.
28-Inspection - there is lack of adequate workplace inspection.
29-Exposure to risks - the worker is exposed to occupational risks that compromise her/him.
30-Health and safety - the worker is not provided with protective gear or equipment.
31-Medical care - medical care is not provided or is inadequate.
32-Psychological abuse - including verbal abuse and denial of the right to privacy.
33-Physical abuse - including beatings, mandatory medical testing and forced drug consumption.
34-Sexual abuse and harassment, including rape and forced prostitution.
35-Other forms of discriminiation such as interference in religious and cultural practices and right to family reunification.
36-Family responsibilities - the worker's terms of employment do not take his/her family responsibilities into account.
37-The worker is prohibited from family reunification while other non-nationals are not similarly prohibited
38-The worker's reproductive rights are infringed.
39-Torture - the worker is subjected to torture and other cruel, inhuman or degrading treatment or punishment.
40-Legal rights-the workers legal rights are violated (due process, consult an attorney, trial before an impartial body).
41-Corruption - corrupt judiciary or law enforcement authorities impede the worker from exercising her/his legal rights.
42-Denial of legal status/national identity of children born in the receiving country or denial of other children's rights
43-Expulsion - the worker is forcibly repatriated to his/her home country. May be forced to pay for the cost of repatriation.
44-Reintegration - issues pertaining to the worker's reintegration into his/her own country.

Select Option
01. Non-discrimination| equality before the law| general policy: (UDHR 2| 7), (CEDAW 2| 9-16), (CMW 1-1| 7, 18, 25, 27)
02. Right to work: UDHR 23, CEDAW 11(1-a)|16(g), CMW-49(2)|52(1)
03. Right to just and favorable conditions of work| free choice of work: UDHR23(1-3), CEDAW11(1b,1c,2), CMW25|51|54|55
04. Right to social security: UDHR22|25, CEDAW11(1-e)|13(a)|14(2-c), CMW27
05. Right to public health: UDHR25(1), CEDAW11(1-f)|12|14(2-b), CMW43(e)|28|45(1-c)|70
06. Right to education and training: UDHR26, CEDAW10|11(1-c)|14(2-d)
07. Right to marry, found a family, choice of spouse: UDHR16, CEDAW16, CMW(no provision)
08. Protection of the family (women, children, fundamental unit): UDHR16(3)|25(2), 4(2)|5(b)|11(2), CMW44|45|50(1)
09. Family reunification, integrity of the family: UDHR(none), CEDAW(none), CMW44(2)|50
10. Right to housing, adequate standard of living: UDHR25(1), CEDAW14(h)|15(4), CMW43(1-4)|43(3)
11. Right to own property, to inherit and obtain financial credits: UDHR17, CEDAW13(b)|14(2-g)|15(2)|16(1-h), CMW15
12. Cultural right| participation in cultural life: UDHR27(1), CEDAW13(c), CMW26|31(1)|43(g)|45(d)|67(2)
13. Right to rest and leisure: UDHR24, CEDAW13(c), CMW25(a)
14. Right to life: UDHR3, CEDAW(none), CMW9
15. Right to physical and moral integrity (prohibition of torture): UDHR5, CEDAW(none), CMW10|16(2)
16. Prohibition of slavery, forced labour and traffic in persons: UDHR4, CEDAW6, CMW11
17. Right to an effective remedy, equality before courts: UDHR8, CEDAW2(c), CMW16(9)|83|84
18. Right to procedural guarantees: UDHR6|7|10|11(1), CEDAW15(2)|15(3), CMW16(5-8)|18|19|24
19. Right to liberty & security of person| safeguards arbitrary arrests & detention: UDHR3|9, CEDAW(none)| CMW16|17|20
20. Expulsion and extradition| nonrefoulement: UDHR(none), CEDAW(none), CMW22|56
21. Right to freedom of movement: UDHR13(1), CEDAW15(4), CMW39
22. Right to leave any country including own and to return: UDHR13(2), CEDAW(none), CMW8
23. Right to privacy: UDHR12, CEDAW(none), CMW14
24. Right to freedom of thought, conscience and religion: UDHR18, CEDAW(none), CMW12
25. Freedom of opinion and expression: UDHR19, CEDAW(none), CMW13
26. Right to peaceful assembly: UDHR20(1), CEDAW(none), CMW(none)
27. Freedom of association: UDHR20(1-2), CEDAW(none), CMW40
28. Freedom to form and join trade unions: UDHR23(4), CEDAW(none), CMW26|40
29. Right to name and identification: UDHR15, CEDAW9, CMW29
30. Political rights and access to public service: UDHR21, CEDAW7|8, CMW41|42(3)
31. Rights of vulnerable groups, minorities: UDHR25(2), CEDAW(none), CMW60|62

Choose Option
Agricultural Worker
Apprentice/Trainee
Businessman
Caregiver
Construction Worker
Dentist/Dental Aide
Doctor
Domestic Worker
Engineer
Entertainer
Factory Worker
Lawyer/Legal Aide
NGO/Development Worker
Nurse/Nursing Aide
Physical Therapist
Seafarer
Secretary/Clerk
Student
Teacher
Technician
Other categories

REPORT A VIOLATION FORM FOR GUESTS

Welcome, Guest, please fill up the form below. All boxes marked * are required.

SOURCE DETAILS

Name or Alias:

Source Type:

Primary | Secondary

Email:

Group/Organization:

Comments and other details:

EVENT (INCIDENT) DETAILS

Event Title:

Country/Destination:

Number of Victims:

City/Town:

Date of Incident:

Date Reported:

Confidential?:

Date Resolved:

Migration Stage:

Specific Migrant Rights Violation:

Basic Migrant Rights Affected:

Short Description of Event:

INFORMATION on VICTIM(S)

Please select the number of victims:

GROUP VICTIM DETAILS

Group Name:

Number of Men:

Nationality Mix:

Number of Women:

Occupation Mix:

Number of Children:

Additional Information:

INDIVIDUAL VICTIM DETAILS

Full Name or Alias:

Civil Status:

Age:

Sex:

Nationality:

Religion:

Identity Status:

Occupation:

Address 1:

Employer:

Address 2:

Employment Contract No.:

Languages Spoken:

Latest Status as Victim:

Additional Information:

INFORMATION on PERPETRATOR(S)

Please select the number of victims:

SINGLE PERPETRATOR DETAILS

Full Name or Alias:

Involvement:

Age:

Group/ Organization:

Nationality:

Personality:

Sex:

Licensed? (if recruiter):

Additional Information:

GROUP PERPETRATOR DETAILS

Number of Perpetrators:

Group Name:

Full Names or Aliases:

Personality Mix:

Nationality Mix:

Additional Information:

IMAGE VERIFICATION