Report a hate incident Details about the incident By using this reporting tool you are providing Report Racism GRT with evidence to support the case for a more effective government approach to combating hate crime and hate speech. Please consider reporting the incident to the police 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 In your view, do you think the incident happened because you are: Romany Gypsy Irish Traveller Roma Other Describe the incident in your own words Where did the incident take place (location, or URL if it occurred online) Was the incident reported to the police? Yes No If it was not reported to the police, 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 Other Your details (optional) Report Racism GRT has a strict privacy and data protection policy. All published material will have any personal information removed before being compiled. See the 'data protection' page on this website Your name Your address Email Address Telephone number Details of the victim, if different (optional) Report Racism GRT has a strict privacy and data protection policy. All published material will have any personal information removed before being compiled. See 'data protection' page on this website. Victim's name
