Report an Incident

IF THIS IS AN EMERGENCY, PLEASE CALL 911.

The goal of SAFER is to identify and assess any potential threats to the + community, whether or not the situation meets the criteria of a criminal charge.

Please use this form to report any information about bias, bigotry, suspicious activity, or unsafe behavior. This information will be reviewed by a security professional and possibly shared with appropriate local state and federal agencies and/or organizations for action and/or resolution. We will maintain confidentiality and not share your information without your permission unless there is imminent danger requiring action. Please be advised that reporting anonymously may hinder any criminal charges, preventative action, or effective response.

First name

Last name

Phone

Address

Nature of Incident (check all that apply):

Bullying

Graffitti

Verbal Assault

Physical Assault

Online Interaction

Other

Location of Incident (please be as specific as possible):

Describe the Incident:

I am reporting this because (check all that apply):*

I want help resolving this issue or reporting to the authorities

I want to document this incident

I want help understanding my rights

I don’t feel safe

Other

Has this incident been reported anywhere else?

Yes

What, if any, action has been taken in response to this incident?

Please attach any related files or evidence:

I wish to be contacted about this submission by a SAFER representative (enter contact information above):*

Yes

Report an Incident

The Security Alliance for Equal Rights (SAFER) is a non-profit dedicated to LGBTQIA+ safety. By providing security resources, advocacy, and education, SAFER empowers communities to create environments where individuals can live authentically and without fear across the United States.

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PO Box 381017

Germantown, Tennessee 38183

team@outsafer.org

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