Tackling Racist Incidents - A Toolkit for Scottish Housing Providers

Section 5. Sample Forms

Witness Report Form (Form: RH5)

Name of Witness


Date of incident witnessed

Details of incident
(Ensure that the report made here by the witness details the incident as they saw it. Include as much information as possible).

Would the witness be willing to go to court?

Does the witness require an interpreter?   Yes / No

Investigating Officer

Signature of investigating officer

Date of Interview


If the witness is a tenant, a copy should be put on their file

A copy should be kept on the victim's file

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