This form is the first step in requesting the investigation by the NAACP into allegations of civil rights or social justice violations that have occurred in the jurisdiction of our branch. Information shared in this report will be analyzed by members of the Legal Redress Committee to consider if and how the NAACP can help. Submitting this form is not intended, and should not be interpreted, as a contract of any nature, either stated or implied.

Persons age 17 and younger are not permitted to complete this form. Youth who have experienced an incident of civil rights violation or social injustice should contact an authorized adult (parent, responsible adult care provider, or legal guardian) to complete and submit this form on their behalf. Personal data collected on this form will remain confidential. Upon review of your Request to Investigate statement, you will be contacted by the President or Legal Redress Chair of the branch to schedule a face-to-face meeting to discuss the details of your request further OR you will be notified by a Legal Redress Committee member with further instructions on how to proceed with your request. Please understand that all Requests to investigate a civil rights violation or social injustice incident will be given careful and urgent consideration. However, decisions for our branch to get directly involved will be determined on the merit and scope of the request. Unfortunately, our limited resources do not permit us to respond to every request that we receive. Please expect a response time of at least two weeks.