Hate Crime/Incident reporting form

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Please use this form to report any incidents of discrimination in regards to age, gender, disability, religion or sexual orientation. Once this form has been received, if requested you will be contacted by the Reporting officer who will take more details from you and will ask you how you would like to proceed. You can also report a hate crime to the police on 101 or 999 in an emergency.

Email *

Name

Telephone Number

Your email address (University or College one)

What campus are you located in?

Singleton Campus

Bay Campus

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Date of incident

Details of incident

Please describe in as much detail as you can what happened and where the incident occured

Have you informed the police?

Yes

Clear selection

Would you like us to contact you to offer you support?

Yes

Clear selection

Submit

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