Application form

Application form

You can request legal support from Dutch&Detained by completing our form. After careful assessment, we will determine whether, and if so, how we can help you. Complete the application form as detailed as possible. This prevents delays in the assessment of your case.

Click on the link below to download the application form in the preferred language:

Application form in Dutch
Application form in English
Application form in Spanish
Application form in French
Application form in Arabic

Note: When completing the form online (only Dutch version), it is important that you actually download the form to your computer. You will then need to complete the form via Adobe Acrobat Reader. Click here to download Adobe Acrobat Reader. Do not complete the form via your browser! You cannot save the document. Don’t’ forget to add your digital signature.

Or print the form, complete it by hand and send it to:

Dutch&Detained Foundation
WG-plein 112
1054 SC Amsterdam

Sending a scan by e-mail is also possible: