This form is to report non-urgent hate crime which has occurred in Scotland.
Police will only receive this form during normal office hours. If you require an immediate response please telephone 101.
In an emergency, please dial 999.
It can be used if you have been the victim of a hate crime, if you have witnessed a hate crime, or if you are reporting a hate crime on behalf of someone else (known as a third party report).
Please fill in this form in as much detail as you feel able to.
1 - Hatred motivation
2 - Victim, Witness or 3rd Party Report
3 - Victim Details
The Police Service of Scotland will record this incident. If you are happy to be contacted, please complete the boxes below.
If you wish to remain anonymous please leave this section blank however, the Police may not be able to fully investigate the matter if this information isn't given.
If you have any special requirements please visit Section 7 of this form.
4 - Incident Details
Include premises, street, town and post code. If the incident occurred in or near a football stadium, please include relevant details, e.g. seat number of involved parties, etc:
What actually happened?
Please tell us in as much detail as possible. Also include victim's details if not already entered:
5 - Witness Details
6 - Offenders Details
Include age, height, build, hair colour and style, distinguishing marks or features.
7 - Special Requirements