Targeted Individual (TI) Severity Assessment Questionnaire

By answering the questions, individuals are granting permission to use the information to pursue a lawsuit.

The form is intended for people who do not identify as a TI.

The information collected will not be used to hold any parties accountable for their actions.

The information collected will not be used as testimony in a court of law.

This form is an intake form for people who are in dire need who identify as a ______.

By answering these questions, you are voluntarily agreeing to allow us to use this information to pursue a lawsuit with the United States of America and any parties suspected to be involved in the ______(s), regardless of authority or standing.

The information collected here will be used to hold all parties accountable for their ______ and will be used to identify you and as testimony in a court of law.

The form is intended for people who do not identify as a ______.