Request for Help

If you, while working in the US military, have been subject to adverse UCMJ or administrative action because you refused or were harmed/suffered by

(1) the military-mandated COVID or anthrax vaccines
and / or
(2) Diversity, Equity and Inclusion (DEI) ideology

STARRS would like to learn more and to hopefully help you. We want to learn as much as possible so we might be able to help people who have been subject to any adverse action as a result of refusal to take or were harmed by the COVID and/or anthrax vaccines and/or the DEI agenda.

You are invited to fill out this form and someone from STARRS will reach out to you. (NOTE: This form constitutes neither legal advice nor a legal opinion, nor does it create an attorney-client relationship with STARRS or any of its members or representatives. If you so desire, please seek competent legal counsel before you complete or return this form.)

Invitation to Request STARRS Help Form

I've been subject to adverse UCMJ or administrative action or was harmed/suffered due to: *

• Military-mandated COVID or Anthrax Vaccines
• Diversity, Equity and Inclusion (DEI) ideology agenda

If for vaccine, date(s) you were given vaccine order(s):

If for vaccine, date(s) you refused vaccine order(s):

date(s), the incident:

The basis for refusal of vaccine:

• Medical
• Religious
• Legal
• Other

Explain what happened: The nature and status of adverse action due to vaccine order or DEI (i.e., Art 15, LOR, admin discharge, court-martial. Include date(s), location(s), etc.) *

What Remedies Do You Want? *

Your Name *

First

Last

Your Military Rank or Civilian GS: *

Branch of Military you served in during incident: *

• Army
• Navy
• Air Force
• Space Force
• Coast Guard
• Merchant Marine

During the incident, were you: *

• Active Duty
• National Guard
• Reserve
• Civilian
• Retired Inactive

Best phone number to reach you: *

Email *

If you are represented by counsel, please provide her or his name and contact information:

Other Comments/Additional Information:

Submit