Responsible Authority
Palestinian Ministry of Social Development.
Purpose
The form aims to collect and document data on families affected by the recent war in Gaza and the West Bank, in order to identify urgent humanitarian needs such as food, shelter, healthcare, and financial assistance, enabling authorities to provide organized and fair support.
Form Concept
This form is designed for individuals or families who suffered material or human losses due to the war. It gathers detailed information to assess the family’s social, economic, and health conditions and determine the appropriate type and level of assistance.
Required Information
Personal Information: Full name, national ID number, gender, marital status.
Family Details: Number of family members, children, elderly persons, and people with disabilities.
Contact Information: Phone number and current address.
Housing Status: Home ownership, current housing situation, and extent of damage.
Losses and Needs: Presence of martyrs or injuries in the family and identification of urgent needs such as food, shelter, medical care, or financial aid.
How to Use the Form
Access the form through the official platform.
Fill in all required fields accurately.
Review the information before submission.
Submit the form for official review.
Target Audience
Families affected by the war in Gaza.
Families affected by the war in the West Bank.
Households that lost housing, income sources, or family members due to the conflict.
Important Notes
Ensure all entered data matches official identification documents.
Clearly specifying the type of assistance needed helps speed up response time.
A valid and active phone number is essential for follow-up communication.
