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Thank you for trusting us with your experience. This form allows the Digital Evidence Accountability Project to identify patterns, document harm and advocate for stronger digital-evidence safeguards. You control how your information may be used. Your name, photograph, documents and identifying information will not be published without additional express permission. Please do not include Social Security numbers, full birth dates, financial-account numbers, passwords, unredacted information about minors or other highly sensitive identifying information. This registry is not a law firm, law-enforcement agency or emergency-reporting service. Submitting this form does not create an attorney-client relationship, constitute legal advice, initiate an investigation or guarantee that your story will be published.
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I have read and understand the information above.* This field is required.
I have read and understand the information above.
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Are you at least 18 years old?* This field is required.
Please Select
Please Select
Yes
No
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Your contact information is for internal follow-up and will not be displayed publicly without separate permission.
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Preferred Name
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Telephone Number
Please enter a valid phone number.
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City
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State, Province or Region* This field is required.
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Country* This field is required.
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Preferred Method of Contact
Email
Telephone
Either
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May we contact you about this submission?
Yes
No
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Full Name* This field is required.
First Name
Last Name
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Email Address* This field is required.
example@example.com
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Your Message* This field is required.
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What type of digital evidence was involved? Select all that apply.
Fabricated screenshot or text conversation
Altered email
Fabricated or altered social-media message
Photoshopped or AI-generated image
Deepfake or manipulated video
Cloned or manipulated voice or audio
Altered contract, invoice or business record
Altered medical, legal or government record
Faulty facial-recognition identification
Other incorrect algorithmic or machine-generated conclusion
Threat to create or release fabricated digital content
I am not certain
Other
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To the best of your knowledge, how was the material created?
Created manually using an app, website or editing program
Created using artificial intelligence
Altered from authentic material
Generated by an automated or algorithmic system
I do not know
Other
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Where was the digital material used or presented? Select all that apply.
Criminal investigation
Arrest or detention
Criminal prosecution
Divorce or matrimonial proceeding
Child custody or dependency matter
Domestic-violence or protective-order proceeding
Civil lawsuit
Employment matter
Business transaction or dispute
School or university
Professional-licensing matter
Immigration proceeding
Insurance claim
Political or reputational attack
Personal relationship
The material was used to threaten or intimidate me
Other
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City, state or country where this occurred
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Name of court, agency or organization involved
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Case number
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Approximate date or date range* This field is required.
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Is the matter still pending?
Yes
No
Unsure
Not applicable
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Please describe what happened in your own words.* This field is required.
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What digital material was presented, created or used?* This field is required.
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Who received, reviewed or relied upon it? Do not identify a minor by full name.
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Why do you believe the material was fabricated, altered or unreliable?* This field is required.
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Did anyone request or examine the original file, native data, metadata, source device, account records or other authentication information?
Yes
No
Unsure
Not applicable
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If yes, please explain what was examined and by whom.
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Was the evidence evaluated by a digital-forensics professional or other qualified expert?
Yes
No
Unsure
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What was the outcome?* This field is required.
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Is there anything else we should understand about your experience?
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How did this affect you? Select all that apply.
Arrest or detention
Criminal charges
Loss or restriction of child custody
Protective order or injunction
Loss of employment or income
Business or financial losses
Legal expenses
Loss of housing
Professional-license consequences
Damage to reputation
Online records or images that remain public
Loss of friendships or family relationships
Emotional or psychological harm
Physical-health consequences
Fear for my personal safety
No measurable harm occurred
Other
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In your own words, how has this experience affected your life?
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Estimated legal expenses, if known
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Estimated lost income or financial harm, if known
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How long have you experienced consequences from this incident?
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Please do not upload or email documents at this stage. If follow-up is appropriate, you will receive separate instructions.
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Do you possess documents or other information that may support your account?* This field is required.
Yes
No
Unsure
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What types of supporting information do you possess? Select all that apply.
Court records
Police or investigative reports
Carrier or platform records
Original or native digital files
Metadata
Device-extraction or forensic report
Emails or correspondence
Employment or business records
Witness information
Expert report
Other
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Please select your preferred participation level.* This field is required.
Private: My information may be used only for internal research and de-identified trend analysis.
Anonymous: My experience may be shared without my name, photograph or identifying details.
Potential public advocate: I am willing to be contacted about publicly sharing my name, photograph or story, but nothing may be published without my additional written approval.
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Select any of the following that you consent to.
I consent to my de-identified information being included in aggregated statistics.
I am willing to discuss my experience in a follow-up interview.
I may be interested in sharing my story publicly after reviewing and approving it.
I may be willing to speak with policymakers.
I may be willing to speak with journalists.
I may be willing to provide written or recorded testimony.
I would like to receive updates about the Digital Evidence Accountability Project and Melissa’s Law.
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Would you be willing to provide appropriately redacted supporting information during a later review?* This field is required.
Yes
No
Maybe
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Electronic acknowledgment
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Submission Date
Date
Month
Day
Year
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