Troop Support and Report Form

Troop Support and Report Form

_______
This is a secure form that members of the military can use to report concerning incidents or conditions, as well as request peer or legal support to explore their options in the event they have concerns about the moral, ethical, and/or legal implications of their situation.

The information submitted through this form will be encrypted for security purposes and kept confidential within our small team of volunteers unless explicit consent is given to the contrary. We are invested in protecting you so if you prefer to submit a report anonymously, please feel free to do so.
Why are you reaching out? Check all that apply *

To submit a report about unsafe, unethical, and/or illegal events or conditions I am experiencing or witnessing in the military To request support evaluating my options because I have moral, ethical, or legal concerns about my current situation or what I'm being asked to do. Other
What part of the military are you in? *

Active Duty Reserves National Guard IRR I am a family member of someone in the military reaching out on their behalf
What is your current status? (check all that apply) *

I am currently activated/mobilized on state orders I am currently activated/mobilized on federal orders I received notice I may be activated/mobilized in the near future I am awol
Name

First Name Last Name
Email

Confirmation Email example@example.com
Phone Number
Please enter a valid phone number.
I have Signal or will download it asap so a volunteer can reach me via phone securely (it is free and you can find it in the app stores)

Requesting Support
Tell us a little about your situation and why you need support. Share as much or as little are you are comfortable with.
Do you believe you need to consult with a lawyer? *

No Yes, because I am concerned I am being asked to do something illegal Yes, because I am morally opposed to what I am being asked to do Yes, because I believe my rights have been violated Yes, because I am facing an active investigation or legal action against me I'm not sure

Reporting Concerning Incidents or Conditions
Describe the issue you would like to report here in as much detail as you're able to and comfortable with.
If you have documentation or evidence you would like to submit you can upload files here.

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
How are you comfortable with us using this information? *

Not applicable Let's discuss, I provided contact info You may share it publicly such as on social media and/or with the press You may share it with other trusted activists/organizations You may not share any specifics but you can include it in aggregated reports (for example "we received 5 reports of racist harassment within the guard last month") You may share it internally within your organization to help inform situational awareness and/or strategy Please do not share the information beyond the team that receives submissions. I just wanted to tell someone. Other

Confirm and Submit
Please verify that you are human *
This form is managed by members of About Face: Veterans Against the War, a community of post-9/11 military veterans who organize to end the wars we participated in.

While our members have varying views on their own military service, our goal is to support others to access the information and resources they need to make the best decision for themselves, whatever that may be. The information submitted through this form will be encrypted for security purposes and kept confidential within our small team of volunteers unless explicit consent is given to the contrary.

We know first hand that if you are reaching out, you may be feeling angry, scared or isolated. Please pnow that you are not alone. If you provide contact info, we will do our best to follow-up within 24hrs to discuss your needs and next steps.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform