Anti-Mask Incident Report

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We've noticed more anti-mask incidents lately and thought it would be helpful to track them somewhere. We're still figuring out how or if we'll use this information, but we might share anonymized reports with elected officials to show the risks of mask bans.

Please report any incidents of anti-mask harassment you’ve witnessed or experienced. Your identity will remain confidential. We might also mention these incidents publicly, but we'll keep your details private. Specific location info will help us bring these concerns to the right people.

This form is monitored by Jews for Mask Rights. Feel free to email JewsForMaskRights@gmail.com with more information or questions.

Name (For verification purposes. We will only show initials to relevant elected officials.) *

Email (For verification purposes only) *

Location of Incident (Be as specific as possible so we can show relevant district officials) *

Type of Incident

Verbal Harassment

Physical Harassment

Denial of Service or Access (e.g., refusal of entry, calling authorities)

Other:

Date of incident *

YYYY

Describe what happened. You can also link to posts about what happened if needed

Submit

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