Form Report Diskrimination

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)

Why do you think the discrimination occurred? Based on what characteristics, attributions or group-belonging?

Where or in which context did the discrimination take place (e.g., school, public transportation, government office, neighborhood, etc.)?

How did you find out about our Anti-Discrimination Office?

What else would you like to tell us?

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?

no yes

Name

Telephone

Email

I hereby acknowledge the privacy policy and the information page for people seeking advice.

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.