Clear Data & Exit

    You're not alone. You're in control here.

    Coming here and sharing your experience takes real courage. Whether this was easy or incredibly hard to begin, what matters is that you’re here, and that you’re doing this on your own terms.

    This form is a safe place to tell your story and preserve your experience in your own words. Its purpose is to help you organize what happened and, if you choose, make it easier to explore support or legal options later.

    There is no pressure, no timeline, and no obligation attached to this process. You can share as much or as little as you want, pause at any time, and return when you’re ready.

    Important to Know

    • This is not a police report. Nothing you share is automatically sent to law enforcement.

    • This is not a commitment to legal action. Completing this form does not start a lawsuit or force any next steps.

    • You decide what happens next. Whether you seek legal counsel, request support, or simply keep a record for yourself—every choice remains yours.

    I'd like to continue

    Are you currently safe?

    If you are in immediate danger, Call 911 for emergency assistance

    Additionally, confidential help is available 24/7. You can reach out anonymously, and you don’t have to share more than you want.

    United States:Call or text 988 to reach the Suicide & Crisis Lifeline

    Domestic Violence Hotline (U.S.): 1-800-799-SAFE (7233) or thehotline.org

    If you’re outside the U.S.: Local crisis lines are available in many countries, and we can help you find one where you are.

    It’s okay to stop here. You don’t have to continue this form right now. Taking a break, grounding yourself, or reaching out for support can be the right next step.

    You can come back to this whenever you’re ready. Your progress can be saved, and you can pick up exactly where you left off—on your timeline, and at your pace.

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    What name would you like us to use?

    Preferred Name

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    Alias / pseudonym (optional)

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    What’s the safest way to reach you, if at all?

    Phone Number

    Email Address

    Secure Messaging

    Is there a time or method we should avoid?

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    If you’re comfortable, who is this about?

    Organization name

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    What best describes what you experienced? (Select any)

    Other

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    When did this happen? (Approximate is okay)

    Approximate timeframe

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    Thank you, you've shared enough for now.

    Save & Continue Later

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    If you want, you can tell us what happened in your own words.

    • There’s no right way

    • You don’t need dates or names


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