Have you experienced discrimination because of your vaccination status?

Please take a moment to fill out the form and share your story! We would like to start documenting discrimination to get an idea of the extent here in the Hoosier state.

When you complete the form please include the following in the comments section:

1. Date of occurrence
2. Details of location
3. Details of Discrimination
4. End result: (denied job, were able to get exemption, switched providers etc etc)
5. Anything else you would like us to be aware of.