Monument Class Action - Information
This form does not create an attorney-client relationship. This form is intended to provide evidence related to a recent class action filed by civil rights law firm Thomas H. Roberts & Associates PC. If the court certifies the class then if you were present you will become a plaintiff in the action. To receive a portion of any class action proceeds you will need to be able to prove that you were present. We are gathering claimant information in anticipation of that process. Information provided herein may be disclosed to the parties to the lawsuit in discovery subject to any protective orders in place. Retaliation for exercising your 1st Amendment rights is Unconstitutional! If you have questions, you may contact the law firm at 804-783-2000
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Your name:
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Your answer
Your Email:
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Your answer
Your telephone number:
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Your answer
Your Address:
Your answer
Were you present on June 1, 2020 at the Lee Circle Monument when the Richmond Police openly trained firearms on the gathered assembly at approximately 7:32 p.m. followed by tear gas?
Yes
No
Did you have any contact with the tear gas?
Yes
No
Clear selection
Did you have contact with pepper spray?
Yes
No
Clear selection
Did the police touch you in any other manner?
detained
baton
pushed
rubber bullet
Other:
Did you receive any medical treatment for injuries sustained by police on June 1, 2020 between 7:30 pm and 8:00 p.m.?
Yes
No
Clear selection
What Proof Do you have of your presence? (Describe generally (photos, video, cellphone phone record) and provide link (youtube, dropbox, photos, etc.)
Your answer
What proof of your presence on June 1, 2020 between 7:30 pm and 8:00 p.m. do you have in your possession or available to you?
photograph of you at the protest on June 1, 2020 between 7:30 pm and 8:00 pm
video of you at the protest on June 1, 2020 between 7:30 pm and 8:00 pm
cellphone record - (did you have a cellphone with you and turned on?)
Other
VERIFICATION - UNDER PENALTY OF PERJURY
§ 8.01-4.3. Unsworn declarations under penalty of perjury; penalty.
If a matter in any judicial proceeding or administrative hearing is required or permitted to be established by a sworn written declaration, verification, certificate, statement, oath, or affidavit, such matter may, with like force and effect, be evidenced, by the unsworn written declaration, certificate, verification, or statement, which is subscribed by the maker as true under penalty of perjury, and dated, in substantially the following form:
"I declare (or certify, verify or state) under penalty of perjury that the foregoing is true and correct."
This section shall not apply to a deposition, an oath of office, or an oath required to be taken before a specified official other than a notary public.
I declare (or certify, verify or state) under penalty of perjury that the foregoing is true and correct, pursuant to VA Code 8.01-4.3. By typing my name below, I intend for that to be my signature to this statement under penalty of perjury.
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