Antisemitism Incident Report Form

If you have been the recipient of antisemitism, know someone who has, or if you have observed an antisemitic incident, we want to hear from you.  Please fill out the form below to the best of your ability.  It will help to inform us how to follow-up on or work to prevent these kinds of incidents locally. Items marked with a red * are required.  Your identity and other information provided will remain confidential.  When done, please click on the "submit" button at the bottom.  Thank you for taking a stand against antisemitism.



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