Thank you for taking the time to fill out this racist incident form. By doing this you are helping us to document and understand the problem of racism in Ireland. This will support our argument for better measures to be taken against it.
The information gathered will be treated confidentially and will not be shared with anyone without your permission, unless we are compelled by law to do so.
We will only contact you if you give us your permission to do so.
As you fill out the form below, options will appear in response to your answers to the first question.