Incident Form
Seeking Legal Help from CAIR-Houston

The Council on American-Islamic Relations-Houston (CAIR-Houston) works to protect and extend all civil liberties guaranteed by the Bill of Rights and the U.S. Constitution for all Americans. We represent individuals who have experienced religious discrimination or have been targeted because of their race and/or religion.

Below are the types of cases we consider for individual representation:

Freedom of Religion: The right to be free from government interference with your decision to practice any religion, or no religion at all. We also work to limit government-sponsored religious activity

Equal Protection: The right to be free from illegal discrimination by the government or a private employer. For example, a government agency refuses to hire a Muslim women

Due Process: The right to a fair procedure to challenge the government inclusion on a watchlist

Freedom from Government Misconduct: For example, government agents may target individual or refuse to assist individuals because of their religion. If any government agent (police, FBI, etc) wants to question you, please contact us for assistance.

Freedom of Speech: For example, a dean suspends a student for writing an article that endorses Islam.

Victims of Hate Crimes

If you, or anyone you know have been a victim of a civil rights violation, please complete and submit the form below or contact us by email directly at asafiullah@cair.com, or by phone at 713-838-2247.

Please provide as many details as possible You will receive a response within 24 to 48 hours of your report.

Remember,

IF IT ISN’T REPORTED, IT DIDN’T HAPPEN!!

Email address *
Today's Date *
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First name *
Your answer
Last name *
Your answer
Gender
Street Address *
Your answer
City/State/Zip code *
Your answer
Email *
Your answer
Phone number *
Your answer
Date of incident *
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Type of incident *
Your answer
Place or address of incident *
Your answer
Detailed summary of incident (what happened?) *
Your answer
Offender's information (name, company, title, etc.)
Your answer
Was the police called?
If so, list the police report's case number below
Your answer
I, the individual submitting this online form, understand that submission of this application is not a guarantee of assistance. I understand that I may be required to submit additional information and I agree to do so in a timely manner. I understand that failure to cooperate with information requests or other assistance-related requests may result in my application for assistance being denied. I UNDERSTAND THAT SUBMITTING THIS FORM DOES NOT ESTABLISH ATTORNEY–CLIENT PRIVILEGE. *
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