Did the recipient experience any excessive force from JSO during their arrest and time in custody?
Your answer
What is the name of the person who needs community support?
Your answer
Were their civil liberties infringed upon 5/30/2020-5/31/2020?
Clear selection
How much community assistance is the recipient requesting?
Your answer
How would the recipient like the funds dispersed?
Clear selection
Please list the contact information of the recipient. If the recipient is still in jail please list the contact information of the person who will be receiving the funds on behalf of the recipient. Name, Phone Number AND Email *
Your answer
What do you plan to use the community support funds for?
Your answer
Do the recipient need legal assistance?
Clear selection
Does the recipient want to request medical reimbursement from injuries sustained 5/30/2020-5/31/2020? If so, how much? Please email receipts to jaxcommunityaction@gmail.com
Your answer
Would the recipient like to have a fully funded therapy sessions with a therapist specializing in PTSD? Please answer YES if you believe you have PTSD from events that occurred 5/30/2020-5/31/2020
Clear selection
Would the recipient like to receive a care package? Care packages include: Water, Gatorade, Granola Bars, Wipes, Sun Screen and Mask
Clear selection
Will the recipient be willing to create a short 1 minute video detailing their experiences in JSO custody and/or at the protest?