In Fairness Individual Application

Please complete all fields relevant to the story you wish to tell. Please reach out if you have questions about what is required. The application needs to be filled out completely in one sitting. To make the process as simple as possible, we recommend that you review the application form in its entirety either online or printed out. This will allow you to gather all necessary information and documents before getting started.

Please complete your personal information

Name

Referred by

Email Address

Phone number

Current employer / position

From

Previous employer / position

From

BriEfly summarize the issue you seek to resolve

Links to previously published objectionable content

Unpublished opinions, misinformation or misunderstandings requiring resolution or response

Past or present legal proceedings

RELATED LEGAL PROCEEDINGS ARE ONGOING

Yes

RELATED LEGAL PROCEEDINGS HAVE BEEN RESOLVED

Yes

If you answered “yes” to either of the above, please use the “upload file” option below to provide relevant details, including the court case number, venue and parties.

Individual Claims & Responses

In the questions following, please provide the published or other claims to which you object, your response to those claims and the nature of the support you will be able to provide for your responses.

1st Major Claim description and Type

The below claim is untrue

The below claim is true, but presented in misleading or inappropriate ways

The below claim is true and properly reported, but requires an explanation or response

1st major claim description

Response to 1st major claim and type
(e.g. document in your possession; documents in another’s possession; third party testimony publically available information, etc.)

Links to Support materials for 1st Major Claim

2nd Major Claim description and Type

The below claim is untrue

The below claim is true, but presented in misleading or inappropriate ways

The below claim is true and properly reported, but requires an explanation or response

2nd major claim description

Response to 2nd major claim and type
(e.g. document in your possession; documents in another’s possession; third party testimony publically available information, etc.)

Links to Support materials for 2nd Major Claim

3rd Major Claim description and Type

The below claim is untrue

The below claim is true, but presented in misleading or inappropriate ways

The below claim is true and properly reported, but requires an explanation or response

3rd major claim description

Response to 3rd major claim and type
(e.g. document in your possession; documents in another’s possession; third party testimony publically available information, etc.)

Links to Support materials for 3rd Major Claim

Please provide the names and contact information for the people you may ultimately rely upon as a reference or to corroborate the information you provide during the course of our review.

References & Attestations

Reference information*

List all references. For each one provide name, email, and phone.

* No reference will be contacted before application acceptance

Social media Profiles

Social media profiles links where you publish

e.g. LinkedIn, Facebook, Medium, Twitter, etc.

Have you already referenced or addressed this issue on one of these platforms?

Yes

Defamation Protection

Can you tell your story without impugning the character or integrity of any other person?

Yes

Upload Support materials for All Major Claims

Upload File

Max file size 10MB.

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All support materials in one file such as Doc, PDF, or Zip.

Add your own story

Upload File

Max file size 10MB.

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Your narrative version in one file such as Doc, PDF, or Zip.

Attestation

By checking this box, I hereby attest that none of the information provided herein is knowingly false or intentionally misleading.

By checking this box, I hereby agree that my typed name in the signature field below is the legal equivalent of my handwritten signature.

Signature (Sign this application by typing your name)

Thank you!

Your application has been received. A member from our team will be in touch within 48 hours.

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In Fairness Individual Application

Please complete your personal information

BriEfly summarize the issue you seek to resolve

Links to previously published objectionable content

Unpublished opinions, misinformation or misunderstandings requiring resolution or response

Past or present legal proceedings

Individual Claims & Responses

1st Major Claim description and Type

2nd Major Claim description and Type

3rd Major Claim description and Type

References & Attestations

Reference information*

Social media Profiles

Defamation Protection

Upload Support materials for All Major Claims

Add your own story

Attestation

Thank you!

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