Assistance request form

In order to help the Democracy Protection Network (DPN) understand your situation, please fill out the form below. We thank you for providing as much detail as possible. In general, we will respond to your request within 3 business days.

If you need help in fewer than 3 business days, please indicate so in the box provided below (“Crisis Information”). If you are in immediate danger, please contact 9-1-1.

Any information you submit will be shared with the DPN and affiliated entities. The DPN is not a law firm, so your submission does not create an attorney-client relationship and is not subject to attorney-client privilege.

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