Response

Senator Ossoff is asking Georgians who have been impacted by the state's six-week abortion ban to share their experiences.

After the Supreme Court overturned Roe v. Wade nearly two years ago, Georgia enacted one of the strictest abortion bans in the country. Senator Ossoff is seeking to hear directly from Georgians about how that ban has affected their lives and access to reproductive health care.

If you have been impacted by Georgia's abortion ban and want to share your experience with Senator Ossoff's staff, please fill out the form below.

** Filling out this form is completely voluntary and for informational purposes only. Please note, the Office of U.S. Senator Jon Ossoff cannot represent you in court proceedings. Additionally, filling out this form cannot shield you from criminal prosecution or provide any immunity from testifying in other legal proceedings. **

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First Name

Last Name

City

State

Home ZIP

Phone

Please describe how you have been impacted by Georgia's six-week abortion ban

Would you be willing to speak further with a member of our staff? (Please note: We may not contact everyone who responds)Yes
No

If so, what is the best way to contact you? Email
Phone
Either
N/A