Online Ambulance Reporting Form • Online Ambulance

Please kindly keep Case Number in secured place. You can follow up your case with this number. *

4) How can we help you? (We’ll do everything we can to support you. While we might not be able to solve everything, we’ll do our best to connect you with helpful resources along the way)*
- I want support to remove the content online
- I want to learn coping strategies on how to deal with this
- I want mental health support, speak to mental health specialist
- I want resources on how to deal with this
- I want help for evidence collection (documenting and archiving of my case)
- I want to do digital forensic and check my devices/accounts
- I want legal advice
- I want information for my physical safety (safe house, someone to help report to

Please add a link to the account of the person who submitted the report to the perpetrator's account. Leave blank if unavailable.

List down all relevant links to the case with descriptions. (Include survivor's account link, the perpetrator's account link, and links to posts or websites that are targeting you) e.g. Perpetrator's account: insert link, Link to post: insert link
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If there is anything else you would like to share that has not already been covered above, let us know below.

9)How would you like us to contact you? (Choose only one of your preferred channel, we will only be using this information to follow up with your for your case escalation and management, and data will be managed according to our data and privacy policy)*

Based on what you've selected above, we may be able to connect you with mental health support, legal advice, digital forensics help, and/or physical safety resources. To do that, we would need to share some of your report details with the relevant partner organization(s). Do you consent to us sharing your information for this purpose?

I agree to Stop Online Harm’s data and privacy policy by checking this box for case report submission.*
- Agree

Online Ambulance