When you submit this form, we will include your discrimination report in our documentation and statistics. You provide information on a voluntary and anonymous basis, and it will be treated as strictly confidential.

If you would like an advice appointment or want to get in touch with us in person, you can find our contact information hier.

1. Information about the incident
Who was discriminated against?
Me personally Another person
When did the incident occur?
Description of the incident

Please give a brief description of what happened: Where did the incident take place? Who discriminated against you/the other person? How did the incident end? Who else was present?
2.Details (Optional)

3. Contact details (Optional)
Many thanks for your report! All the information in this form is provided on a voluntary basis. If you would like us to contact you, please provide the following information.
Would you like us to contact you?

Yes, I have read the privacy policy and agree that the data I have provided will be collected and stored electronically.
If I would like to meet with a counsellor, I have also taken note of the information sheet for those seeking advice on data protection.
My data will be used only for the purpose of processing and responding to my request. By sending the contact form, I agree to the processing.