Service, not servitude
Bookmark and Share
 

Victim Worksheet

Who should complete the worksheet?

Anyone who, as a result of conscientious objection to medical procedures, has

  • experienced coercion

  • suffered discrimination or other adverse social, educational  or employment consequences

  • had an application refused

  • experienced coercive questioning or interviews during an application process

  • experienced discriminatory or coercive educational practices

  • had to participate in medical procedures despite conscientious objection.

Confidentiality
  • Information collected will be used only for the stated purposes. 
  • Information will not be shared except in accordance with your directions.
Purpose

The detailed VICTIM WORKSHEET will  help conscientious objectors gather material needed for grievances, human rights complaints or civil suits.

The parts of the worksheet returned to the Project will provide information about the nature and scope of the problems faced by conscientious objectors.

  • In some cases, it may be possible to refer a complainant to legal counsel or other appropriate source of assistance or support.


INSTRUCTIONS

Victim Worksheet
You can see what the worksheet looks like here.  Download, complete and keep the entire worksheet.  It will help you organize information that should be presented to a lawyer or human rights investigator.

Mail in only those parts of the worksheet marked "copy to Project". (Address) These sections do not contain information about other people, so you will not be accused of disclosing confidential information about someone else. 

MAILING ADDRESS
The Protection of Conscience Project,
7120 Tofino St., Powell River,
British Columbia, Canada  V8A 1G3

QUESTIONS?

Please contact Sean Murphy (Administrator)
Tel: 604-485-9765   E-mail: protection@consciencelaws.org.