Report hate crime Use this form to report hate crime Segment 1 - Report Hate Crime Note: Questions marked by * are mandatory *This is a mandatory field. Your name *This is a mandatory field. Your address *This is a mandatory field. Your telephone number Your email address *This is a mandatory field. What has happened? Who has been causing the problem? *This is a mandatory field. How do you believe you were targeted or discriminated against? Because of a disability Because of my race or ethnicity Because of my religion or beliefs Because of my sexual orientation Because of my transgender identity Other Yes No *This is a mandatory field. Have you told us about this before? Have you told the police about this? Have you got any special requirements we need to consider when dealing with this case? E.g. translator, same sex officer, signer.