Anti-AAPI Racist Hate Crime/Incident Report

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Submitting the incident to VAYLA New Orleans will help us track the correlation of crimes in the GNO area and make sure people in power are held accountable for answering to our communities. Your submission will be kept confidential.

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View our initial press release at http://www.vayla-no.org/blog/covid-19-press-release

Donate to our Emergency Relief Fund for undocumented folks and non-citizens: http://www.vayla-no.org/donate.html

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VAYLA incubates AAPI leaders for a more just tomorrow. VAYLA exists as an embodiment and commitment to activating tomorrow’s AAPI leaders in New Orleans and beyond. We engender leadership to address social inequities facing our community while anchored in an anti-racist, Queer, Feminist lens. At the forefront of these issues we focus on environmental justice, reproductive justice, and civic engagement initiatives.

Email *

First Name *

Last Name *

Age *

Gender

Ethnicity *

Date of Incident *

YYYY

Time of Incident *

Time

Site of Incident (Check all that apply) *

School

University

Place of Worship

Workplace

Public transit

Store

Restaurant

Private Residence

Public space (park, sidewalk, etc.)

Online

Other:

Required

Location/Address of Incident *

Type of Incident (Check all that apply) *

Shunning/Avoiding

Verbal Harassment and/or Name Calling

Physical Assault

Barred from business establishment (grocery store, restaurant, etc.)

Barred from transportation (public transit, taxi, Lyft, etc.)

Workplace Discrimination

Other:

Required

Suspected Reason for Discrimination *

Race

Ethnicity

Gender

Language

Religion

Food

Clothing (including face mask)

Other:

Required

Description of Incident *

Please describe and include details that were not answered in the questions above, including other victims involved or anything you feel may be relevant.

Any supporting evidence? *

If you have any news clips, photos/videos, or social media postings please let us know. Non-website links can be emailed to contacts@vayla-no.org

Have you received medical or legal services? *

Please refer to our resources at: http://www.vayla-no.org/covid-19-resources.html

Yes

Not yet but will be seeking it in the near future

Are you interested in sharing your story and connecting to community healing for advocacy? *

Yes

Are you financially affected by the pandemic? *

Yes

Send me a copy of my responses.

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