Report an incident

Report an incident
Please use this form to report an experience of hate crime, prejudice, discrimination and/or bullying that has happened to you or that you have witnessed in Jersey.

The data you provide is anonymous and does not get shared with Jersey law enforcement agencies or the Government of Jersey.

The data is collected and used by Liberate to build a picture of where incidents are happening, what sort of incidents are happening and where more work needs to be done to reduce the number of incidents.

The combined data will be released publically in an annual report by Liberate. Any data that could identify an individual will not be released by Liberate in the annual report.

For Liberate's full data protection policy, please click here.
What sort of incident are you reporting?

Hate crime (i.e. a crime that includes prejudice or discrimination) Discrimination at work or school Prejudice-based language or behaviour outside work or school (includes bullying, harassment, intimidation, threats, abuse, discrimination, etc)
When did the incident happen (approximately)?

Day Month Year
Date
Where did the incident happen?

At work At school At home In the street A shop A hotel, pub or restaurant A bank or other financial institution A Government department Online
What type of industry do you work in?

Financial and legal services Government including schools, hospital, uniformed services etc Construction and related trades Retail and wholesale Agriculture, horticulture and fishing Tourism and hospitality Transport and storage Information technology and telecommunications Media Charity or not for profit
Who was a victim of the incident? (Select everyone affected)

Me My partner/spouse My child/children Family member(s) Friend(s) Work colleague(s) Another person/people A community group
What characteristic did the perpetrator pick on? (Select all that were used)

Skin colour Ethnicity/nationality/race Religion Sex/gender Sexual orientation Gender reassignment Pregnancy/maternity Age - young Age - old Disability - physical Disability - mental health Disability - learning Disability - sensory Disability - other
Briefly describe what happened (Please use pseudonyms to protect the identities of those involved if you wish)
Did anyone witness the incident?

Yes - me Yes - someone else No Don't know
Did anyone try to help the victim?

Yes, during the incident Yes, immediately after the incident Yes, some time after the incident No
Have you reported the incident to anyone in authority? (Select everyone you told)

A manager at work HR at work A teacher Customer Services/Complaints Dept Social media abuse reporting tool JACS Citizens Advice The Jersey Employment and Discrimination Tribunal States of Jersey Police Honorary Police
If the incident has been dealt with by someone in authority, briefly describe how it was resolved (Please use pseudonyms to protect the identities of those involved if you wish)
If you have had a resolution, were you satisfied with the result?

Yes No
If you would like any support from Liberate as a result of this incident please email hello@liberate.je

Any information you tell us will be treated in the strictest confidence.
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