Submit a Report

If you have been a victim of an anti-Muslim prejudiced incident or hate crime and are still in danger, please call 999. If the threat is now over, please use the form below to report it to us.

Once we have your information secured, one of our trained case workers will call you to discuss the issue further and ensure we have all the details we require to record the incident accurately and offer you our support.

We need the information marked with a * so that we can contact you and make sure you get the support you need. We won't share any information you give us without your permission.

Your name *:

Email address *:

Contact number *:

Type of incident (please tick as many as apply) *:

Date on which incident happened (DD-MM-YYYY):

A brief description of the incident *:

Location of the incident (Street, Town/City, Post Code):

Location of the incident (Map)

Marker at: none
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Upload a photo/video of the incident:

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