ANTI-HARASSMENT REPORT FORM Report an incident related to Access Now’s Anti-Harassment Policy1. What happened?Include a detailed description of the incident, how you became aware of it, and as many facts as you can, e.g. name(s) of person(s) and organization(s) involved, date(s), time(s), location(s), and witness(es). If the matter relates to you, please indicate this clearly.2. Are you safe?Let us know if you need immediate assistance to ensure your safety.3. Have you reported this matter to law enforcement?If so, and if you feel comfortable doing so, please provide details (contact, name of authority, contact details etc.)4. Can we contact you?*We may want to contact you to make sure you are safe, or to investigate this report further. Let us know if we can reach out to you.YesI would prefer not5. How can we contact you if you would like to hear from us?Let us know the best way to get in touch (e.g. email, phone, in-person). We will keep your contact info protected.Additional information or documents can be sent encrypted to firstname.lastname@example.org (PGP key). You may submit using the Tor Browser to better protect identities.PhoneThis field is for validation purposes and should be left unchanged.