FreeState Justice – Community Harm Report
Use this form to report incidents, harmful experiences, or misinformation that impact LGBTQ people or other vulnerable communities.
Name (Optional)
First Name
Last Name
Email (Optional)
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Date/Time
Location (City, Town, or Online)
Brief Description of Community Harm
Who Was Affected:
LGBTQ+ Person(s)
Youth
Older Adult
Person of Color
Other
Type of Harm
Discrimination/Harrassment
Violence or Threats
Hate Speech / Stigma
Denial of Service (Housing, Job, Healthcare)
Threats to Immigrant Communities
Policy / Institutional Harm
Other
If you selected other to the previous question, please describe to the best of your ability here:
Have you seen harmful texts, emails, or social posts?
Yes
No
If you responded yes to the previous question, please describe it here, or upload an image below:
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Confidentiality: Reports are kept private and only used to support community safety and advocacy.
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