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519-722-2449 [email protected] Emergency: Call 911 Coalition of Muslim Women of K-W
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I have Witnessed a Hate Crime

If you have witnessed hate or discrimination, complete our report form below.

Have questions about how to complete the form?

 

Learn How to Make a Report

Form Progress

Incident Classification
Incident Sector
Ethnicity
What kind of support was provided?
Case Status
Incident Location
* Where did the hate act take place?
Incident Details
* What happened during the incident?
* In your opinion, what is the reason for this incident?
Select all that apply
Evidence Please attach any relevant photos, video, or documents that may be relevant to the incident.

Supported file types: Word, PDF, GIF, JPG, PNG, HEIC, WEBP, MP4, M4V, AVI, MOV

If evidence files exceeds 10MB, please email [email protected] to arrange for further support.
What is the victim's age group?
What is the victim's gender?
What is the victim's ethnicity?
Select all that apply
What is the victim's religious / faith background?
Was the victim wearing any cultural / religious clothing when the incident took place?
* Do you want help from CMW?
Have you reported it to the police?

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