REPORTING A RACIST INCIDENT

If you are a victim or a witness to racial harassment you can report this by:

  • PARINS 
    c/o Stoke-on-Trent Citizen's Advice Bureau
    Advice House
    Cheapside,
    Hanley,
    Stoke-on-Trent 
    ST1 1HL
  • Telephoning out of hours service Stoke-on-Call on 01782-234234
  • Text (SMS) to 07717 997161
  • Email: hcp.customerservicesunit@civic1.stoke.gov.uk
  • Calling at your local police station

Self-reporting forms are also available at police stations, libraries, health centres, housing and social service offices and from some faith communities such as mosques, gurdwaras and African-Caribbean associations.
Alternatively you can report a racist incident online by filling in this form.

Information received will be treated in the strictest confidence.
SECTION A: Details of Victim
  
Age Group
               Over 55
Ethnic Origin (Tick as appropriate)



SECTION B:
(Please indicate if other family members are affected)



SECTION C: Type of incident(s)
Tick more than one box if appropriate
  
(eg home, work, street, etc)



SECTION D: Details of Perpetrators
  
  
Gender
 
Age Group
              



SECTION E: If this report is not being made by the victim, please complete this section
  
  



SECTION F: Have you reported this incident to any other agency
  
If yes, please indicate which agency below



AUTHORISATION
I to be disclosed to other agencies indicated below
 

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