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Format: (000) 000-0000.
- Preferred contact method*
- Upload the evidence*
- Keep my identity confidential in public-facing reports where reasonably possible*
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- Date content was first posted (if known)
- Date first learned about it*
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- Is the content still visible?*
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- Select all categories that apply*
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- Screenshot capture date/time
- Does the evidence show the group name, post URL, date, and surrounding context?
- Were the original unedited files preserved?
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- Reported to Facebook or Meta?*
- Meta report date
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- Reported elsewhere
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- Was any content removed?
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- What impact have you experienced?*
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- Affirmations*
- Consent for internal use by organizers*
- Consent for public use of anonymized excerpts or statistics*
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- Date signed*
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- Should be Empty: