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Equality Virginia
403 N. Robinson Street
Richmond, VA 23220
804.643.4816



Discrimination: We are seeking reports of discrimination that have occured since 2000 in Virginia based on a person's actual or perceived sexual orientation or gender identity/expression in the areas of Employment, Housing, Transportation, Healthcare, and Education. This could include but is not limited to being fired, passed over or not promoted, refused renting or purchasing property, refused public transport, denied healthcare treatment or educational services.

Hate Violence: We are seeking reports of offenses committed against a person or property which is motivated, in whole or in part, by a person's actual or perceived sexual orientation or gender identity/expression. While we especially encourage individuals to report violence as soon as possible, we are interested in reports of violence that have occurred at any point in time if it happened in Virginia.

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Contact Information
First Name:*
Last Name:*
Email:
Phone:
Address Line 1:
Address Line 2:
City:*
State:*
ZIP/Postal Code:

Additional Information
What are you reporting?:*
If Discrimination, what kind?:*
Were you a Victim or Eye Witness to the incident?:*
Date of incident:*
Description of the incident:*
Did you report this to anyone before?:*
If Yes, to whom and what was their response? Were you satisfied?:*
Are you interested in pursuing this case further?:*
May we contact you regarding this incident?:*
Are all of the above statements true?:* Yes
Age:*
Race:*
Gender:*
Sexual Orientation:*
Income before taxes:*
Virginia resident?:*

 

 




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