Community Member Incident Report Form : Report an Antisemitic Incident : Jewish Community Relations Bureau|AJC

Report an Antisemitic Incident

Dear Community Member,
Please complete the form if you live in Kansas or Western Missouri and:

You are the victim of antisemitic harassment or vandalism
You have personal knowledge of antisemitic harassment or vandalism

If you have experienced an incident of antisemitism, or know of someone who has, please take a moment to complete the Incident Report below or phone JCRB|AJC at 913-327-8127. Your information will remain confidential. Please note that JCRB|AJC cannot provide legal advice or take legal action on anyone’s behalf.

Did this incident occur in Kansas or Western Missouri?

Your first and last name (Required)

Your email address (Required)

Your Phone Number (Required)

City (Required)

Date of incident (Required)

Location of incident (online or in person, please be specific.) (Required)

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Please provide a description of the incident (preferably chronological) or details of the issue, with as many specifics as possible (time, location, witnesses, etc.) (Required)

List any documentary evidence you have of the incident. (Required)

Please upload any documentary evidence you have of the incident.

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Please briefly describe any steps you have already taken prior to contacting us. (Required)

If the incident did not occur in JCRB|AJC's region, please consider using the below links to inform your next steps.

ADL Report Antisemitic Incident
Contact your closest AJC regional office
Review AJC's Reporting Antisemitism resource

If there is not an AJC regional office near you, contact your closest JCRC or Jewish Federation for assistance.