About Your Claim
Where did this incident occur (city/county/state)
When did the incident occur (be as specific as possible)
Please describe the incident
Were you given any explanation for what happened?
If so, who gave you the explanation?
What was the explanation?
Why do you think this happened to you?
If so, what agency and what is the status of your complaint?
Have you consulted an attorney?
If so, what is the name and contact information for the attorney?
What action, if any, is the attorney taking?
Have you done anything on your own to try and address this problem?
If yes, describe your efforts
What would you like the ACLU to do for you?
Disclaimer and Notice
This Survey does not give legal advice, and you should not rely on it as legal advice. You should not rely on the information you get from this site and should speak with a lawyer to get advice on your specific situation. We also cannot promise that the information on this site is complete, accurate, or up-to-date.
This Survey is not a solicitation or an offer by the American Civil Liberties Union and its affiliates to represent you. We cannot promise you that the information you provide will lead to any specific action on the American Civil Liberties Union or its affiliates part. Once you complete the survey, the American Civil Liberties Union of Delaware may not do anything—including contact you—about your situation.
If you fill out this Survey, you agree that the American Civil Liberties Union, the national ACLU or its affiliates, if identified as part of the Survey, or one of its coalition partners may use the information you give us, as long as we don’t include your name, address, email or phone number, for one or more of the following purposes: (1) legislative testimony, (2) litigation; (3) contacting a city, state or federal agency; or (4) telling your story to the public, including the media. If the American Civil Liberties Union, the national ACLU or its affiliates, or one of its coalition partners wants to identify you, we will contact you prior to doing so.
We will keep your name, address, telephone number and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure).