CMABP Racism Incident Report
This 'Come Meet A Black Person' initiative form is to report incidents of racism across the United States and abroad. If you have experienced racism while shopping, on the job, interacting with law enforcement, in housing, in a restaurant, at school, in government services, etc., please report it here. We have an anti-racism advocacy team that will investigate the incident and give you guidance/referrals in resolving the issue and getting repair for any damage(s). We will follow-up with you within 48-72 hours.
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Email *
Telephone Number
Full Name (First, Last) *
Address *
City *
State *
Zip Code *
Country *
When did this happen? Month, day, year. *
MM
/
DD
/
YYYY
Where did this take place? City, state, country *
Incident Category *
Describe the incident. *
What are the damages? *
What would you suggest to solve this incident? *
Comment(s) *
Submit
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