Report a hate incident If you are human, leave this field blank. Details about the incident By using this reporting tool you are providing C.O.N.T.A.C.T with evidence to support the case for better laws, policies and practices for combating hate crime and hate speech. Please consider reporting the incident to the police/local authorities as well. Type of incident (please tick as many as apply) Physical violence Sexual violence Verbal abuse Damage or desecration to property or theft Discrimination Published material (book, leaflet or paper) Online hate on website or social media Date on which incident happened What do you think was the motivation for the incident (please tick as many as apply) Disability Gender/gender identity, including transgender Race, ethnicity or nationality Religious belief Sexual orientation OtherOther Describe the incident in your own words Where did the incident take place (town/city location, or URL if it occurred online) Which country Was the incident reported to the authorities? Yes No If it was not reported to the authorities, why was this? (please tick as many as apply) I would have felt ashamed, embarrassed or uncomfortable I did not think the Police or authorities would do anything I was concerned of reprisals from the perpetrator I thought it would be too much trouble to report it The incident is too common an occurrence to report I did not think it was serious enough to report I did not know how to report it OtherOther Your details (optional) C.O.N.T.A.C.T has a strict privacy and data protection policy. All published material will have any personal information removed before being compiled. See http://reporthate.eu/data-protection-policy/ Your name Your address Email Address Details of the victim, if different (optional) C.O.N.T.A.C.T has a strict privacy and data protection policy. All published material will have any personal information removed before being compiled. See http://reportinghate.eu/data-protection-policy/ Victims name
