Report Racism v2

SECTION 1 - ABOUT THE EXPERIENCE

Where did the racism happen? *This question is required.

Please enter an 'other' value for this selection.

Please tell us what happened.
Where did it happen and who did it? What made you know it was racism? How did it make you feel? What was the lasting impact of the experience?
Racism can be traumatic, and you might feel hurt or angry when you fill in this section. Please take your time, and if you need support, call Beyond Blue on 1300 22 4636. If the racism was violent, you should visit a doctor as soon as possible so they can write a report about how you have been hurt. You may need this as evidence if you want to take the matter further. *This question is required.

5. Please attach any supporting or relevant documents/images etc. (up to 5 files, 1Mb each)

File: {{filename}} delete

If you are not the person who experienced racism, why are you reporting on their behalf?

I witnessed it but do not know the person who experienced it
They didn’t think it would be taken seriously
They are too afraid to report
They are unable to report
They didn’t know it was racism/discrimination
They didn’t think anything could be done about it
They asked me to report it
Other (please specify) Please enter an 'other' value for this selection.

SECTION 2 - REPORTING

Where was it reported?

What date was it reported? This question requires a valid date format of MM/DD/YYYY.

calendar

What happened when it was reported?

If you have reported it to police, how did you report it? (e.g. Which police station did you go to or number did you call?)

Why have you chosen to report through Report Racism?

SECTION 3 - NEXT STEPS

Please provide your contact details and we will contact you within 7 business days.

Name

Address

Email Address

Contact Number

An anonymous report tells us how and where racism happens. In some cases, we will be able to contact the organisation or person that you are anonymously reporting.

We will not give away your identity when we do this. In other cases, anonymous reports will help us build an understanding of racism in our community.