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Report Anti-LGBT Discrimination
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Email *
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What is the better way for us to reach you? *
Are you contacting us for a matter related to school or being a student? *
If yes, what is the name of the school?
Are you contacting us for a matter related to health care discrimination? *
If the matter is health care related was it :
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In what county did the incident occur? *
Discrimination category (check all that apply)
Please provide a brief description of the incident for us to review. *
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