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Report a Prejudice Incident or Hate Crime

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WHAT IS
HATE CRIME?

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HATE CRIME / PREJUDICE REPORTING FORM

Open Out takes all types of prejudice and hate crime seriously. If you or someone you know has been affected by hate crime you can report it here securely. All reports are confidential and can be made anonymously.

DON’T SUFFER IN SILENCE

Tell us what happened and give as much detail as possible:

*When:

time of day, date

*Where:

give as much detail as possible

*What Happened:

give as much detail as possible

*Who did it:

Description of person or group, give names and addresses if known

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OPEN OUT PROVIDES CONFIDENTIAL SUPPORT

The following information will help us to understand what has happened and support you.
Filling in this section is optional, you can choose to remain anonymous.

I am the:

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Name:

Date of Birth:

(dd/mm/yy)

Address:

Phone Number:

Best time to contact you:

Ethnicity:

Faith/Religion:

Sexuality:

Gender:

Transgender status:

Do you consider yourself to have a disability?

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Do you need an interpreter?

Yes

Language:

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Thank you for reporting this incident to Open Out.

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