AAPI Hate Incident Reporting Form
Hate incidents are biases enacted as acts of violence or hostility against any of the following identities: race or ethnicity, national origin, religion, gender identity, sexuality, or disability.

Submitting hate incidents through this form will help us OCA - Asian Pacific American Advocates monitor hate towards AAPIs across the country. There is no obligation for you to report gender or ethnicity information. If you do not want to disclose this information, please state N/A.

If you feel comfortable, we recommend also reporting hate incidents and hate crimes to your local law enforcement.
First Name
Your answer
Last Name
Your answer
Email *
Your answer
Race *
Your answer
Ethnicity *
Your answer
Sexual Orientation *
Your answer
Have you reported this incident to local authorities? *
What kind of incident are you reporting? *
Required
Date of Incident *
MM
/
DD
/
YYYY
Description of Perpetrator(s) *
Including gender, race, ethnicity, age, other details.
Your answer
Please describe the incident *
Please describe the location, context, description of assailant, etc.
Your answer
City and State of Incident *
Your answer
Submit
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