DISTRESS REPORTING FORM (NOTE: FOR KENYANS ONLY) - Toll FREE No.: 0800222223
SECTION 1: DISTRESS CALL BASIC DETAILS:  
Distress Call Reported By:  
DISTRESSED PERSONAL DETAILS:
National ID:  FirstName:
Surname: OtherNames:
 Passport No:  Nationality:  
Gender  Date of Birth  
Mobile No:    Departure date from Kenya  
Email   Type Of Work  
Current Country of  work:  Current City of  work:
Current Employer Name:  Current Employer Phone No:
Current Employer Email:  Current  Employment Date:
Home County: Home Sub-County  
Home Location:  Home Sub location:
Nearest NEA Office  
  
DISTRESSED NEXT OF KIN PARTICULARS:
 Next Of Kin Name: Next Of Kin Mobile No:
  Next Of Kin Email:
  
DISTRESS
  Have you reported to the Embassy
 Who Took him/Her There?  
 Complaint Issue:  
 Assistance Required:  
                                                                                            
                                                                                                                ;