First Name*                                   Last Name*            
If you are inquiring on behalf of a Holocaust survivor, please indicate the Holocaust survivor's full name and your relationship to them.
Please detail your inquiry to the Office of the Ombudswoman*
Claims Conference Registration Number if known
How would you like our office to contact you? Please provide one of more of the following details: email / phone / address* Country Code/Phone Number EMail Address:
Country Albania Albania Algeria Anguilla Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bangladesh Belarus Belgium Bermuda Bolivia Bosnia-Herzegovina Brazil Bulgaria Cambodia Canada Chechnya Chile China Colombia Costa Rica Cote d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Dagestan Democratic Republic Of Congo Denmark Dominican Republic Ecuador El Salvador Estonia Finland France French Polynesia Georgia Germany Ghana Great Britain Greece Guadeloupe Guatemala Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Ivory Coast Jamaica Japan Jersey Kazakhstan Kenya Kyrgyzstan Latvia Lebanon Libya Liechtenstein Lithuania Luxembourg Macedonia Malta Martinique Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Namibia Netherlands Netherlands Antille New Caledonia New Zealand Nigeria Norway Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Romania Russian Federation Rwanda Senegal Serbia Singapore Slovak Republic Slovenia South Africa Spain Sri Lanka Suriname Sweden Switzerland Tajikistan Tanzania Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine Unknown Uruguay Uzbekistan Venezuela Yugoslavia Zimbabwe United States of America
Attachments Please attach up to 5 documents using .pdf, .jpg or .jpeg extensions