Reporting a discrimination incident form

Please categorise the type of incident which occurred *

If during a match please estimate as close as possible the minute in the match that it took place.

Please include league or competition and venue of match, if applicable. If a workplace incident please indicate the environment it took place in.

Try to provide as much information as possible. What was said, names of those involved if known. Context of the incident, for example in an open plan office, chanting at a match, sexist signage.

Please provide the stand/block/row/seat number if at a match. Please indicate n/a if a work place incident

Have you contacted the football authorities or departments to inform them of the incident?

Please select any of the following as appropriate.

Have you contacted any of the following external bodies for advice or to inform them of the incident? *

What is your position at the Club or work place? *

This information gives WiF an idea of the types of roles in football who are aware of the reporting process, you do not have to declare this information.

Do you wish to remain anonymous? *

It is really useful if you are able to provide an email address to enable Women in Football to follow up the incident you are reporting.

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