Colorado National Lawyer's Guild - Search / Injury Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Report violations of your rights and injuries. You can remain anonymous.

Do you wish to remain anonymous? *

Yes - If yes skip down to "how should we contact you"

No - Are you comfortable being known?

How should we contact you? (Anonymous emails or social media accounts are okay). Enter email address or social media handle/link. *

What is your name? If you are comfortable being identified. *

Describe the violation of your rights in as much detail as you can so we can gather more facts. *

Do you want an attorney from Colorado Chapter of National Legal Guild to call you? If "Yes" what is your phone number? *

Any witnesses to these violations of your rights - who are willing to speak to us? *

Do you, or any witnesses, have photos, videos, or other evidence? *

Yes - email them to us at: ColoradoNLG@protonmail.com

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report