Survivor referrals

Have a trafficking-related legal need? Submit the required information to request an assessment. Your submission will be reviewed, and a member of our team will contact you.

You can also connect with us using the following contact information:

The Joseph Project
P.O. Box 36115
Grosse Pointe Farms, MI 48236
info@josephproject.com

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone Number*
Are you a survivor seeking legal assistance or a third-party referrer seeking assistance on a survivor's behalf?*
- Survivor
- Third-Party Referrer
Are you affiliated with a servicing organization?*
- Yes
- No
Organization Name*
Organization Website*
Organization Phone*
Survivor Name*
Citizenship Status*
- US Citizen
- Other
Date of Birth*
MM slash DD slash YYYY
Narrative Details*
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