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Discrimination report

Describe the incident in a structured way, stay anonymous if needed and leave contact details only if you would like a follow-up.

Aktualisiert am 30. April 2017
Confidential handling

Report discrimination confidentially

Use the questionnaire to describe an incident in a structured way. If you want counselling or a follow-up, you can add your contact details at the end.

Before you begin

You can complete the form step by step. Only share what you are comfortable sharing. Contact details are optional unless you want counselling or a follow-up.

01

Describe the incident

Explain what happened, when it happened and where the incident took place.

02

Classify the case

Select the characteristics, setting and type of discrimination that best fit the situation.

03

Choose your follow-up

You may stay anonymous or leave contact details if you would like a response.

Note: If you are in immediate danger, please contact the responsible emergency or local protection services first.

Open the same form in another language:

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We treat your information as strictly confidential.

1. Incident
2. Classification
4. Due to which characteristics or categorisations happened the discrimination (personal assumption)?
5. Where took the discrimination place?
6. What kind of discrimination did you experience?
3. Person & contact

Contact information (only necessary if you wish counselling):

The report is sent to the internal address configured in WordPress settings.


Roma in Society Reloaded Roma Antidiscrimination Network Roma Center e.V. Alle bleiben