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Thursday 11th March 2010

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Email GMP

This form is to report hate crime, which has occurred in Greater Manchester.

Police will only receive this form during normal office hours. If you require an immediate response please telephone our switchboard on 0161 872 5050. The switchboard is open 24 hours a day. In an emergency, please dial 999. Our minicom number is 0161 872 6633.

You can remain anonymous if you wish and send the details for monitoring purposes only. If you supply your personal details for us to investigate your incident further, you will be dealt with in the strictest confidence. If the information you provide amounts to a hate incident and/or a crime it will be recorded as such.

Reporting incidents assists GMP in tackling hate crime. The information you provide is valuable, it enables us to identify areas of concern, patterns of behaviour and could possibly help catch / prosecute offenders.

Please fill in this form in as much detail as you feel able to.

	Q1) Hatred Motivation Hatred Motivation Gender Race Religion Disability Sexual Orientation Unknown
	Q2) Are you the Victim or the Witness?
	Victim or Witness Victim Witness Other
	If "Other" please specify Any other not specified in list
	Q3) The Incident
	Tell us about the incident in your own words, giving as much detail as possible In your own words, what happened?
	When did the incident take place (be as specific as possible)?
	Time
	Day
	Date
	Where did this happen? (If known include premises, street, town, post code) Can you let us know, in as much detail as possible, where this happened?
	Were you or the victim injured? Yes No
	If "Yes" please give details If yes, could you provide further details
	Did any loss or damage to property result from the incident? Yes No
	If "Yes" please give details If yes, could you provide further details
	Approx Value £
	Q4) Witness Details
	Were there any witnesses? Yes No
	If "Yes" please give details, if possible names, address (es) or telephone number they are happy to be contacted at Can you provide details of any witness' to the event
	Q5) Offenders Details
	How many offenders were there?
	Male
	Female
	Do you know them? Yes No
	Can you name them? Yes No
	If "Yes" please give names and if possible addresses Offenders Name or Address
	Can you give a description? (If known age, height, build, hair colour, distinguishing marks or features) Offenders description
	Ethnicity Offenders ethnicity
	Did they have a vehicle? Yes No
	If "Yes", can you describe the vehicle? Please describe the type of vehicle
	Make
	Model
	Registration Number
Colour
Distinctive Features Please describe any distinctive features
Q6) Your Personal Details
Greater Manchester Police will record the above incident. If you are happy to be contacted please complete the boxes below. Your details will be held in confidence.
Name
Address
Gender
Email
Daytime Phone Number
Evening Phone Number
Mobile Phone Number
Date of Birth
Ethnicity Please Select... White - British White - Irish White - Any other White background Mixed - White and Black Caribbean Mixed - White and Black African Mixed - White and Asian Mixed - Any other mixed background Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian or Asian British - Any other Asian background Black or Black British - Caribbean Black or Black British - African Black or Black British - Any other Black background Chinese Any other Ethnic group