Report it!

A PDF version of this form is also available.

Please note: this report is NOT a formal complaint. If you want to make a formal complaint of discrimination, fill out your details below and we will get in touch with you.

All questions must be answered, unless marked (optional).

Details
Details of the person(s) who was abused or harassed (if known)

The following information is collected for statistical purposes only

Age
Gender
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