Information Censorship Incident Report Form
Report incidents where information was censored, hidden, removed, restricted, altered, delayed, or otherwise suppressed. Please complete all fields relevant to your report.
Your Name
*
First Name
Last Name
Your Affiliation or Role
*
What type of information was censored?
*
Where did the censorship occur?
*
Date and time of the incident
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of censorship involved
*
Content removal
Access restriction
Delayed publication
Information alteration
Other
Who was affected by the censorship?
*
Is there any evidence available?
*
Yes, I have evidence
Yes, evidence exists but I do not have it
No evidence available
How significant was the impact?
*
Minor
Moderate
Severe
Uncertain
Additional details or context for review
Submit Report
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