Login to the staff intranet
Home
About Us
Fundraising
Events
Resources
Partnerships
What Is Hate Crime?
Tell Us
Explain The Incident
You can use this form to report to Stop Hate UK any Hate Crimes you have experienced or witnessed. You do not have to give your details. If you do give your details, you can choose who you want us to pass them to (e.g. local Police, local support agencies).
If you need help immediately, call the Police on 999. If you want to talk to someone about the Hate Crime you have experienced, call the Stop Hate Line 24-hours a day on 0800 138 1625.
If you don’t want to report a Hate Crime but would like to contact us, you can email us at info@stophateuk.org
You do not have to answer all the questions. Please give as much detail as you can, so we can monitor Hate Crimes better.
What do you think was the reason for the incident?
Disability
Gender identity
Race
Religion or belief
Sexual Orientation
Are you a
Please choose one
Victim
Witness
Third-Party
(required)
What happened?
Verbal abuse/name calling
Physical assault (inc throwing things at you, spitting, hitting)
Damage to your home or vehicle
Arson
Leaving rubbish/Throwing things at your home/vehicle
Anti-Social Behaviour
Threats/Intimidation (verbal or written)
Written abuse (letter/text/email/internet)
Graffiti
Theft/robbery
Burglary (breaking into your home)
Sexual abuse/rape/indecent act
Problem with the police
Problem with an organisation
Discrimination at work
Other (specify)
When did it happen? Please be as precise as possible.
(required)
Where did it happen? Please be as precise as possible, and give details of the nearest town or city as well as the location
(required)
What happened? Please give as much detail as possible.
Was it part of ongoing incidents?
Please choose one
Yes
No
Was anyone hurt? If so, please give details.
If items were stolen or damaged, what was the approximate cost of these?
If any offenders were male, how many were there?
If any offenders were female, how many were there?
How old were they?
Please choose one
Under 12
12-18
18-24
25-40
40-65
65+
Not Known
What do you think their ethnicity was?
Please choose one
Bangladeshi
Indian
Pakistani
Other Asian
Chinese
Gypsy
Traveller
Black Caribbean
Black African
Other Black background
White English
White Welsh
White Scottish
White Irish
Other White European
Other White background
Mixed Dual Heritage White & Asian
Mixed Dual Heritage White & Black African
Mixed Dual Heritage White & Black Caribbean
Other mixed background
Any other
Prefer not to say
If you chose other Ethnicity, can you state which?
Can you describe them? e.g. hair colour and style, height, build, the clothes they were wearing, any recognisable features such as tattoos
Do you know who they were? Please give their name and address if you can.
How do you know them? (e.g. neighbour)
Did they use a vehicle? If so, please give the make, model, colour, registration
Did anyone see it happen? If so, please give any details you have
Has the incident been reported to anyone else?
Police
Who Else?
Do you have a Police Crime Reference Number for the incident? Please give it here.
If the incident has not been reported anywhere else, was there a reason for this?
About the Victim
We would like to know about the victim of the incident. If you are the victim of the incident, please give as much detail as you want. If you are a witness or a third-party, please give as much detail as you can.
What is the victim’s ethnicity?
Please choose one
Bangladeshi
Pakistani
Indian
Other Asian
Chinese
Traveller
Gypsy
Black Caribbean
Black African
Other Black background
White English
White Welsh
White Scottish
White Irish
Other White European
Other White background
Mixed Dual Heritage White & Asian
Mixed Dual Heritage White & Black African
Mixed Dual Heritage White & Black Caribbean
Other mixed background
Any other
Prefer not to say
(required)
If you chose other ethnicity, can you state which?
What is the victims date of birth (approximately)?
(required)
What is the victim’s gender?
Please choose one
Male
Female
Prefer not to say
(required)
What is the victim’s sexual orientation?
Please choose one
Lesbian
Gay
Bisexual
Heterosexual
Prefer not to say
What is the victim’s religion/belief?
Please choose one
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Other religion, faith or belief
None
Prefer not to say
If you chose other religion/belief, can you state which?
Does the victim have a disability or health problem?
Please choose one
blind or visual impairment
deaf or hearing impairment
speech impairment
learning difficulty or disability
mental health condition
mobility
long term health condition or disability
other
not known
none
Prefer not to say
If you chose other disability, can you state which?
What type of housing does the victim live in?
Please choose one
Owner Occupier
Local Authority or Housing Association
Private Rented
Other
not known
If you are the victim of the incident and want more help, please give your details here.
Please choose one of the following three privacy choices:
I do not want to give any further details, and do not want any contact from the Police, Stop Hate UK or any other organisations
I want the victim’s details to be passed to the Police AND a local support agency
I want the victim’s details to be passed to a local support agency. I do NOT want the Police to have the victim’s details.
What is the victim’s name?
What is the victim’s address?
What is the victim’s phone number?
What is the victim’s email address?
Would the victim prefer to speak in a language other than English?
Are there any other requirements the victim has when they are contacted? (e.g. using Text Relay, not leaving messages)
Are there any other organisations the victim does NOT want us to pass their details to?
About You
If you are not the victim, how do you know the victim?
Please choose one
Friend/Family
Professional
I don't know the victim, I just witnessed the incident
If you are not the victim, what is your name?
If you are not the victim, what is your address?
If you are not the victim, what is your phone number?
If you are not the victim, what is your ethnicity?
If you are not the victim, what is your gender?
Please choose one
Male
Female
Is your gender the same as you were given at birth?
Yes
No
If you are not the victim, what is your date of birth?
Is there any other information you want to give us?
How did you hear about Stop Hate UK?
Please choose one
Advertisement
Council
Housing office
Internet search engine
Leaflet
Local Hate Crime reporting centre
Newsletter
Newspaper
Police
Poster
Used Stop Hate UK before
Word of mouth/recommendation
Work
Other
Not known
(required)
cforms
contact form by delicious:days
