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Report Your Urgent Actions!

It’s important to report your actions because we use these numbers in our advocacy and share them with the family and representatives of the cases.

Instructions: Submit once for each Urgent Action!

For example, if you took action on three separate Urgent Actions (e.g. Urgent Action 100.18; Urgent Action 11.19; Urgent Action 12.20) please submit this form three times.

E-mail [email protected] if you have questions.

1. Urgent Action Number*
Example: “21.19”. This number may be found in the email subject line, within the #2 section of the email (example below) or at the top of the Urgent Action document itself.
Find the Urgent Action number
2. Name*
First Last
3. Email*
4. AIUSA Group (if applicable):
5. How many LETTERS did you write? (If none, skip)
Please enter a number greater than or equal to 0.
6. How many EMAILS did you send? (If none, skip)
Please enter a number greater than or equal to 0.
7. How many FAXES did you send? (If none, skip)
Please enter a number from 0 to 50.
8. How many CALLS did you make? (If none, skip)
Please enter a number greater than or equal to 0.
9. How many TWEETS did you post? (If none, skip)
Please enter a number greater than or equal to 0.
10. If your action does not appear above, please list the kind(s) and quantity of action(s) taken.
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