• Media Organization Human Rights Complaint Form

    Use this form to submit a human rights complaint about a media organization, describe the incident, share supporting evidence, and request a resolution.

  • Complainant Information

  • Preferred Contact Method*
  • Format: (000) 000-0000.
  • Are you submitting this complaint on your own behalf or on behalf of someone else?*

  • Complaint Details

  • Date of Incident*
     - -
  • Date Issue Was First Reported or Noticed
     - -
  • Is the Incident Ongoing?*

  • Human Rights Impact

  • Human rights issue category*
  • Do you fear retaliation?*

  • Evidence and Supporting Information

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  • Requested Resolution

  • Requested outcome*
  • Preferred follow-up method*
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