Hate Crime Online Report

You can make a report in moments and in 100% complete confidence. There are 4 small sections. Questions which we do need an answer for are marked with an asterisk * symbol. Due to the report being anonymous, we do need this minimal amount of information so it can be used effectively and your kind efforts are not wasted. We greatly thank you for your help.

Section 1 of 4: Monitoring

  Victim   Witness   Friend   Relative   Colleague
  Other (please specify)
  Religion (non-sectarian)   Sectarian   Race
  Sexual Orientation   Disability   Age
  Other (please specify)
  Yes   No   Don't Know
  1-2   3-5   6-10   Over 10   Unknown

Section 2 of 4: About The Incident

A. Place of Residence
  Care Accommodation   Hostel
  Own Home   Visiting Another Residence
B. Place of Work
  Building Site   Factory
  Office   Own Business
C. Place of Education
  College/University   Primary School
  Secondary/Grammar School   Training Centre
D. Place of Entertainment
  Bar/Club   Cinema
  Concert   Restaurant
  Sporting Venue
E. Public Place or Amenity
  Car park Toilet   Government Department/Office
  Public transport   Place of worship
  Shop/Shopping Centre   Hospital/Health Centre
  Street Park   Taxi Beach/Forest walk
F. Other Location
  Other (please specify)
Address B. Postcode   (optional)
Address/postcode unknown?
Describe the location giving as much geographic information as possible.
Try using a known landmark, a known building or other unique feature.
  Yes   No   Don't Know

Section 3 of 4: Nature of the Incident

  A person(s)   Property   Both
Offensive actions through...
  Communication   Verbal abuse or gestures   E-mail, text or website
  Phonecalls, fax or letter   Leaflets/flyers   Graffiti, posters or murals
Assault
  Sexual assault   Physical assault   Death
Damage to...
  Property   Home business   Vehicle/personal belongings
Refused Access or Entry to...
  Pub/Club   Restaurant   Cinema
  Other (please specify)

Section 4 of 4: The Victim(s)

  Single Individual   Couple   Family
  Group (give number)
  Other (please specify)
  Yes   No   Don't Know