This form is designed to easily and privately gather your confidential information regarding voting or registration issues to collectively analysis recurring issues and possibly support upcoming legal recourse to protect our right to vote.
After completing the form, if possible, please also send us copies of any evidence that you may have relating to your registration and subsequent events which you have described. (Copies of emails, screen shots, photos, documents scans, if any.) Send to: firstname.lastname@example.org. Share this form widely and encourage everyone you know to follow the same steps.
Please note that ALL personal information provided will be kept 100% confidential. Election Justice USA will NEVER share your information without your express permission. You may be contacted by Election Justice USA to complete notarized affidavit that can be used for any potential court filings.