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On-Line Human Rights Violations Report Form

Fill out as much as the following information as possible, and hit the "Submit" button. Your stories are important in our ongoing efforts to raise the issues of poverty in the United States on a local, national and international level.

(Your) Name:

E-mail:

Address

City State Zip

Phone(s):

Organization:

Location of the Case (City, State)

Description of the Case (Please include source of your information):

 

I certify that the KWRU has permission to use this story in their efforts to document economic human rights violation in the United States. Please list any qualifications above (e.g. do not release to the press, use the story but change the names, etc.).

 

 

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Poor People's Economic Human Rights Campaign

e-mail: kwru@kwru.org

Technology training for KWRU provided by Human Rights Tech