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519-722-2449 [email protected] Emergency: Call 911 Coalition of Muslim Women of K-W
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I am a Reporting on Behalf of Affected Community

If you seen hate or discrimination happen that directly impacts your community, complete our report form below.
Have questions about how to complete the form?

 

Learn How to Make a Report

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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 your age group?
What is your gender?
What is your ethnicity?
Select all that apply
What is your religious / faith background?
Were you 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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