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A hate incident is:

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Call us on: 0330 1111 999Text: Hate + your message to 07537 414477You can also contact us through our websitewww.challengenorthstaffs.org.uk

You may be targeted because of your: • Age • Race • Gender (includes Transgender)• Sexual Orientation • Religion/Belief • Disability/Mental Health • Appearance/Dress

Many hate incidents are crimes.All hate incidents should be reported.

Have you experienced any kind of hateincident? If so, report it!If you are a victim or witness to a hate incident, tell us. You can do so by using thetear off slip attached to this leaflet, and posting it back to us, or:

Hate incidents include: • Graffiti • Antisocial Behaviour • Verbal Abuse • Assault• Abusive Phone Calls • Cyber Bullying • Hate Mail • Threats • Disputes• Damage to Property • Theft • Harassment • Arson

Who are Challenge North Staffs (CNS)?CNS works to eliminate hate incidents in North Staffordshire so that all membersof the community can live in peace, free from fear, hate, abuse anddiscrimination.

What will happen when I make a report?We will contact you to offer advice. We will only discuss your report with otheragencies if you say we can.

Reporting FormIf you have been a victim or witness to a hateincident please complete the form below

Name:

Address:

Telephone Number:

Email:

Are you the: Victim Witness Other (tick box)

What happened?

Reason for incident (please tick):

Race Gender (including Transgender) Sexual Orientation Age

Religion/Belief Physical/Sensory Disability Learning Disability

Mental Health Other (please state):

Date and time incident happened:

Where did it happen? (please tick)

Stoke-on-Trent Newcastle under Lyme Staffordshire Moorlands

Alternatively call us on: 0330 1111 999

In an emergency call the police: 999

Any incident where the victim or any other person thinksthat it is motivated by prejudice or hostility

Please contact us if you need this leaflet in a different format. Calls from a landline will be charged at standard local rates, Calls from mobiles may cost more.

Please use a separate piece of paper if there is not enough space.

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