Report a Bias or Hate Crime.

If you are in imminent danger, or your safety is being threated, please call 911

BiasHELP tracks hate crimes and bias-related incidents that occur throughout the United States. This helps us to better understand these incidents and effectively design programs to assist victims and prevent hate crimes from occurring.

Complete this form if:

You have been the victim of hate-related harassment, property damage or violence.
You have personal knowledge of hate-related harassment, property damage or violence.

* Your Are:

If other, please specify:

You may remain anonymous and do not have to give us any information that would reveal your identity. If, however, you would like more information about hate crimes or require our assistance in some way, please complete the following so we can contact you:

The information you send to BiasHELP, Inc is STRICTLY CONFIDENTIAL and will not be shared with anyone else.

Would you like us to contact you about this incident? Yes No

This information is not required unless you want us to contact you.

Your Name:

Phone Number:

State:

City:

Email:

Information about the Incident

* Date of incident:

* Location:

If other, please specify:

* Nature of the incident:

Please tell us more about the victim, or if you are the victim, please tell us more about yourself.

Victim's age

City

State:

Gender Identity:

Sexual Orientation

Race/Ethnicity:

If other race or ethnicity, please specify:

Did the victim suffer physical injuries? Yes No

If yes, please describe:

* The main motivation of the crime was:

Racial/Ethnicity

If other racial or ethnicity, please specify:

Religious

If other religious, please specify:

Sexual

If other sexual, please specify:

Disability

If other disability, please specify:

* Was the offender acting alone or part of a group?
Alone Group Unsure

* Please tell us in your own words what happened?

Was this incident reported to anyone? Yes No

If yes, please select who was informed:
Police
School Officials
Your Parents
Community Agency
Other

If the incident was reported to another person or party, please specify who:

This website is monitored periodically during weekdays. While we may be able to provide you with information, referrals and assistance, we cannot guarantee you an IMMEDIATE response, though we do promise to get back to you as quickly as possible.

If you request to be contacted, please make sure your contact info is completed *HERE on this form*