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Reporting Form

Please report each incident separately and provide as much information as possible. You may report as often as needed. All answers are confidential and will allow us and our collaborative partners to monitor human rights incidents and issues in Sonoma County during and after Covid-19.

We will not share your identifying information with any individual and or third party including local,

state and federal law enforcement agencies. We will use the data collected to identify areas of need and report statistical information to better improve the human rights and dignity of all Sonoma County residents.

Unfortunately, we cannot respond to submissions. If the matter is urgent, please CALL 911.

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* 1. Who are you reporting for?

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* 2. Please indicate your ethnicity or the person you are reporting for (check all that apply):

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* 3. Please indicate your gender and/or gender identity(check all that apply):

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* 4. Please indicate your age

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* 5. Please indicate if any of these circumstances describe you or the person you are reporting for (check all that apply):

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* 6. Date of occurrence

Date
Time

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* 7. Place of occurrence

T