Report

Attacks on AAPI Elders

In light of recent attacks, NAPCA has formed a database on anti-Asian crimes which will be used to help policy makers frame legislation. If you or someone you know is an AAPI older adult who has been the victim of a violent crime, please report the incident by filling out and submitting the form below.

    1 Victim Information

    MaleFemaleNon-Binary

    Select Ethnicity *

    2 Incident

    Select US State*


    Type of Incident

    Victim Status:

    Reported to Police?

    Attacker Apprehended?

    3 Information on Person Submitting Report

    Relation to Victim

    Terms of Use
    This online report form is anonymous, and the data collected will be used to track the incidence of violence more accurately against our AAPI elders.
    Participants are responsible for the verity of submissions. They have the option to identify themselves and any personal information submitted will remain completely anonymous.
    Participants must be 18 years of age or older. By clicking “I agree” below you are affirming that you are 18 years of age or older.
    The data collected will be posted on our website and social media channels. By checking the box, you are agreeing to these uses.

    I agree to the Terms of Use