If you or someone you know has been the victim of a hate crime, been harassed or targeted, or experienced discrimination for being Muslim, or seen as being Muslim, please fill out this form so that CAIR-Washington’s Civil Rights Department can contact you and find the best way to help you. CAIR-WA highly encourages you to report all incidents.

Please complete the form below to the best of your ability. It is not necessary to complete every box if you do not have all the requested information. After submitting the form, a member of our Civil Rights Department will contact you within 10-15 business days to discuss the best ways to help you. If you have upcoming court dates or other deadlines, please make sure you mention those dates in the form below. Please note that your identity will remain confidential.

You may also call us to report discrimination by phone at (206) 367-4081. Please be sure to leave a detailed message with your full name, phone number and the reason for your call. If you would like to request an interpreter please include the language needed.

Your Information
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Offending Party's Information: