At present, FFCHS is between attorneys. However, we are still working on our lawsuit. So feel free to fill
out this application as we anticipate litigation at some point soon.
EVIDENCE SURVEY
Please copy
and paste this form into an email. Fill it out and place an 'X' next to all fields that apply. Then
send it to: tisurveys@yahoo.com or by postal mail to:
FFCHS
PO Box 9022
Cincinnati, OH 45209
Printer-friendly
version: www.freedomfchs.com/evidencesurvey.pdf
NAME:
EMAIL ADDRESS:
PHONE NUMBER:
MEDICAL - Please describe contents of your evidence
Doctor's
Report:
X-ray:
CT scan:
MRI:
Other:
METER READINGS
Type of Meter:
Frequency Range:
Type of Signal detected:
Location: (Home or elsewhere)
DOCUMENTS
Source of Origin:
Describe Contents:
PERSONAL KNOWLEDGE OF PERPETRATORS
Location of harassment activity: (Home or elsewhere)
If applicable, from what group
or agency:
Names of Assailants:
VIDEO FOOTAGE
Location of incidents: (Home or elsewhere)
Describe what is happening:
PICTURES
Location of incident: (Home
or elsewhere)
Describe contents of photo
AUDIO
RECORDING
Location of incident: (Home or elsewhere)
Describe contents
of recording:
OTHER
Please describe:
HAS YOUR EVIDENCE
BEEN SENT TO THE ATTORNEY? YES___ NO___
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