Antisemitism Report an Antisemitic Incident

Report an Antisemitic Incident

Confidentiality: Reports will be handled with care and discretion. You may submit a report anonymously. However, this may limit our ability to follow up or provide assistance. The report will be shared with the Anti-Defamation League (ADL) and added to their database. Apart from the ADL, identifying information will not be voluntarily shared with outside organizations without your consent, except when required by law or necessary to address an imminent safety threat. IMPORTANT: If you or someone else is in immediate danger, call 911. This form is not monitored continuously and is not a substitute for contacting law enforcement during an emergency.

"*" indicates required fields

How do you prefer to be contacted?*
What is your relationship to the incident?*
Date of Incident*
If you do not know the exact date of the incident, please guess to the best of your ability. If the event occurred over an extended time period, please list the first date of the incident.
What time did the incident take place?*
:
If you do not know the exact time of the incident, please guess to the best of your ability.
What type of location was involved? (select all that apply)
Detailed Location Information (if applicable)
What type of incident are you reporting? (select all that apply)
Who or what was targeted? (select all that apply)*
Was the incident motivated by actual or perceived Jewish identity, religion, ethnicity, or connection to Israel?*
Were there threats of violence?*
Where there threats of property damage?*
Has this happened before?*
What happened? Who was involved (include names, affiliations, descriptions, or other identifying information, if available). What was said or done? What additional information do you have that may help further explain the incident?
Were there witnesses to the incident?*
Have you reported this incident to any other entities?*
If you answered "Yes" to the above question, please select which entities with whom you have reported the incident.
i.e. organization name, date reported, case or reference number, action taken/response received.
Have any steps been taken to address or resolve the incident?*
Do you have any files relevant to the incident? If you answer "Yes" please upload. Max. file size: 128 MB.*
Includes photographs, screenshots, video clips, etc.
Max. file size: 128 MB.