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. Confidential – Private details are protected by the Data Protection Act

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

Date and time on which incident happened (DD-MM-YYYY)

  

Location of the incident (Map)

Upload a photo/video of the incident