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File a Report

Use the form below to report an entity for illegal vaccine coercion and/or mandates. Please provide as much information as possible, and ensure that any uploaded source documents are legible and verifiable.

Section 1. Entity Details

Provide the details of the entity you are reporting. If you know the name of the person responsible for responding to enquiries regarding the entity’s offence, please provide it. If you have their email address, please provide that too. We use the email address to communicate with the entity formally, and we also publish the email address on the list.

Please ensure this name is correct. If the offence is committed in conjunction with a another entity, please report that entity separately.
Provide the name of the responsible person, if you know who it is. We recommend providing the name of a high-ranking individual, but a responsible person in another role may also be provided (please tell us their role too). We’ll publish their name on the list.
Please do not provide a personal address, unless it is already available to the public. Public and department email addresses, may be used when the person’s direct email address is not known.
Provide a business contact number. Do not provide a personal contact number, unless it is already available to the public. A reception or general phone number may be provided if a direct line is not known.
Section 2. Evidence of Wrong-doing
In order for an entity to be added to the list, we require evidence or proof of their wrong-doing in the form of a policy statement (such as a letter or email) or public information that shows how the entity is coercing or promoting vaccination.
This may be provided in the form of a file or image that you upload or, alternatively, as a link to a website or resource that is accessible to the public, but you may provide both.
Important Notes:
  • When uploading a Source Document (file or image), it must be legible and verifiable.
  • If provided, the source document will be made available to the public. As such, submissions containing personally identifying information will be modified so that the information is not visible.
  • Unfortunately, we cannot accept or publish source documents containing letters addressed to you or other employees directly, unless you provide explicit consent in the “Additional Information” section at the bottom of this form.
  • Reports that cannot be verified (ie, entity name or logo not present) will not be accepted.
Upload a Source Document
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Upload a PDF (preferred) or image (JPG or PNG only). Max 5MB.
If a link to the evidence is available to the public, please enter it below
Section 3. Your Contact Information
Once you have submitted your report, we might need contact you to provide more information.
If your report is accepted, the entity will appear on the list.
Doesn’t have to be your full name.
We’ll keep this super-safe, promise! See our Privacy Policy.
Section 4. Additional Information
If you’d like to provide some additional information about this report, please do so below.
By submitting your report, you acknowledge that you have read, understand the contents of, and agree to our Privacy Policy.
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News Feed
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