Confidential contact form

If you need confidential help, advice or assistance please use the form below. The form method ensures strict privacy. We cannot promise anything but we will do our best to help you.

Your contact information

Name(optional) : Your Ship Name(required) :
Present Location : Registry (Flag) :
Next Port :  

Type of ship

Bulk Carrier Container Gen/cargo Tanker
Passenger Fishing Reefer RoRo
Vehicle Carrier Offshore supply Other  

Nature of problem

Abandoned Contract Criminal/Discipline Death
Discrimination Immigration Illness/injury Living conditions
Pension Repatriation Ship safety Stowaway
Termination Wages Working conditions Other

Additional information:

Can we contact someone on your behalf?

Union organisation : Yes No
Port State Control : Yes No
Chaplain at next port : Yes No

How can we contact you confidentially?

By e-mail? (If so enter address)
Or mailing address?
Or another contact method? (eg Telephone)

Share |