Section 5. Sample Forms

Personal Record of Incidents (Form: RH3)

It is essential that you keep an accurate record of any further incidents of racial harassment. This is necessary as a basis for any possible legal action.
N.B. This form can be translated into other languages for those who speak a language other than English.

DATE

TIME

WHAT HAPPENED?

POLICE

CONTACTED

(Give details)

ANY

WITNESSES

(Give details)































































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