Homeless Bill of Rights Violations
We are working with the ACLU to prosecute violations of the Homeless Bill of Rights. 

This form will help collect information that can lead to prosecution for violations.  It is important to include as much information as possible.  While collecting information about violations will help us understand the root cause of incidents, it is important to know that litigation can not happen unless the VICTIM of the crime is willing to file a complaint and work through a lawsuit. 

This form can be filled out by outreach workers, service providers or the victim themselves.  While the questions are not mandatory, please be as thorough as possible.  Provide extra detail as needed.  One form will be needed for each individual complaint. 

While we might not get back to you about each incident, please know that your responses are helping to build cases. When a incident has sufficient information and a victim on record, someone from the coalition or the ACLU will be in touch to begin building a case. 

For reference, the Homeless Bill of Rights states: 

No person’s rights, privileges, or access to public services may be denied or abridged solely because he or she is homeless. Such a person shall be granted the same rights and privileges as any other resident of this state. A person experiencing homelessness:

(1) Has the right to use and move freely in public spaces, including, but not limited to, public sidewalks, public parks, public transportation and public buildings, in the same manner as any other person, and without discrimination on the basis of his or her housing status;

(2) Has the right to equal treatment by all state and municipal agencies, without discrimination on the basis of housing status;

(3) Has the right not to face discrimination while seeking or maintaining employment due to his or her lack of permanent mailing address, or his or her mailing address being that of a shelter or social service provider;

(4) Has the right to emergency medical care free from discrimination based on his or her housing status;

(5) Has the right to vote, register to vote, and receive documentation necessary to prove identity for voting without discrimination due to his or her housing status;

(6) Has the right to protection from disclosure of his or her records and information provided to homeless shelters and service providers to state, municipal and private entities without appropriate legal authority; and the right to confidentiality of personal records and information in accordance with all limitations on disclosure established by the Federal Homeless Management Information Systems, the Federal Health Insurance Portability and Accountability Act, and the Federal Violence Against Women Act; and

(7) Has the right to a reasonable expectation of privacy in his or her personal property to the same extent as personal property in a permanent residence.


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Email *
Name *
Contact information *
Role/Organization if filing on behalf of a victim.
Please describe the incident and reference which section of the Bill of Rights was violated. (The Bill of Rights is written out in the introduction of this form and can be found HERE.) *
What date did the incident take place? *
Where did the incident take place? (city/town, street, location description, nearby landmarks) *
Is the victim willing to be named?  If so, what is the victim's name?
If the victim is willing to be named, what is the victim's contact information? (phone/email)
Has the victim filed a report with the local police department?  If no, why not?
If personal property was destroyed, what is the estimated dollar amount of the damages?
Do you have any proof of the incident? (photos, videos, audio recordings, text messages, emails, badge numbers, license plate numbers, etc.) 
If yes, please describe.
Please use this space to provide any additional information you feel is relevant to this incident. 
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