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Report an Incident
Your safety is our priority. You can report anonymously if needed.
⚠️ Safety First:
If you are in immediate danger, please contact local emergency services first. If reporting could put you at risk, consider using a safer device or network.
Incident Report Form
Incident Details
Incident Category *
Select category
Physical Violence
Arbitrary Detention
Forced Displacement
Property Destruction
Harassment/Intimidation
Discrimination
Other
Date of Incident *
Approximate date is acceptable
Time (if known)
Location *
Description of Incident *
People Affected
Alleged Perpetrators (if known)
Were there witnesses?
Select
Yes
No
Unknown
Upload Evidence (optional)
Photos, documents, or other evidence. Multiple files allowed.
Contact & Privacy Options
Submit Anonymously?
No, you may contact me
Yes, submit anonymously
Your Name
Email
Phone
Preferred Contact Method
Select
Email
Phone
Secure messaging app
Consent & Acknowledgment
I consent to DCJD storing and using this information for documentation and reporting purposes. *
Remove identifying details from any public reporting
What happens next:
We review submissions, assess risk, and may follow up if safe and consented. Submitting a report does not create a lawyer-client relationship.
Submit Report