Anti-Hindu Hate and Hinduphobia Incident Form
Who experienced this incident? If the incident involved a temple or other property, please include the name/phone/email of the primary contact person.
First and Last Name
In filling out the description of the incident, please be as thorough as possible. Please include a description of the perpetrator(s), as well as exactly what was said or written by the perpetrator(s), if anything.
Date of Incident
Time of Incident
Location of Incident
Please provide city and state.
Nature of Incident
Physical assault or attack to person
Damage to property
Verbal abuse, harrassment, or threats of harm to person and/or property
Detailed Description of Incident
Was the incident reported to law enforcement?
If yes, what law enforcement agency?
Please include contact details for the representative of the law enforcement agency.
Was the incident reported to the media and/or community organization(s)?
If yes, what media outlet(s) and/or community organization(s)?
Please include contact details for the representative from the media outlet or community organization.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of HAF.