JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Defend Democracy: Report an Incident
Report voter intimidation, vandalism at drop boxes, and disinformation here! We will follow up with you to discuss actions you can take and resources we have to help you respond. Please send photos, videos, screenshots, and other details to
democracy@rop.org
Sign in to Google
to save your progress.
Learn more
First and Last Name
Your answer
Phone Number
Your answer
Email
Your answer
Town
Your answer
County
Your answer
Are you reporting something you witnessed yourself?
Yes
No
Clear selection
Description of the Incident:
Please include as many details about the incident or event as you can. These may include descriptions of people, cars, license plates, signs etc.
Describe the incident:
Your answer
When and where did this incident occur?
Your answer
Supporting Information
If you have photos, video, screenshots or other files that document the incident, you can email them to
democracy@rop.org
.
Did you take action in response to the incident? Describe any actions taken:
Your answer
Would you like an ROP organizer to follow up with you and discuss possible actions you could take?
Yes
No
Other:
Clear selection
ROP would like to share this information with election officials, the media, and others to help amplify this concern. Is there any of this information that you would like to keep private?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rural Organizing Project.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report