Report a Hate Incident

We want every one to enjoy living in and visiting Flintshire, free from harassment and intimidation. We are working with the North Wales Police to reduce hate incidents in Flintshire. If you are a victim of hate incidents report it here.

What is a hate incident?

A hate incident is one in which the perpetrator's conduct is motivated by, or partly by, hatred, bias or prejudice based on an actual or perceived difference such as

• Race
• Age
• Gender
• Disability
• Sexual orientation
• Language
• Religion or Belief

There are How To and FAQ documents available to guide you through this process.

Reporting Person Details

Date	Thu Jun 20 13:03:51 UTC 2013
Reporting Person to remain Anonymous	Yes No

Reporting Person
Designation
Telephone No
Directorate
House & Street
Area
Town	Please Select... Mold Buckley Flint Holywell Connah's Quay Shotton Queensferry Hawarden Mancot
County
Post Code

Incident Details

Please provide a general description of the incident
Location		Please Select... Home Town Centre Leisure Facility Public Transport Place Of Worship Council Premises School Workplace Street Park/Sports Ground Other
Hate Incident Type		Please Select... Religion And Belief Homophobic Sexist Linguistic Age Race Nationality Other
Incident Type		Please Select... Verbal Abuse Graffiti Damage To Property Physical Assault Malicious Telephone Calls Threats Offensive Gestures Racist Literature Arson/Attempted Arson Written Abuse Other
House & Street
Area
Town		Please Select... Mold Buckley Flint Holywell Connah's Quay Shotton Queensferry Hawarden Mancot
County
Post Code
Date of Incident		- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / - 01 02 03 04 05 06 07 08 09 10 11 12 / - 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 (dd/mm/yyyy)
Time of Incident		- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 : - 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 (hh:mm)

Individuals Involved

Would you like to give the details of the:
Victim	Yes No
Alleged Offender	Yes No

Victim Details

Person Details		Please Select... Member Of Staff Service User Member Of Public Third Party
Full Name
House & Street
Area
Town		Please Select... Mold Buckley Flint Holywell Connah's Quay Shotton Queensferry Hawarden Mancot
County
Post Code
Telephone No
Sex		Please Select... Male Female
Age Group		Please Select... Under 16 16 - 25 26 - 40 41 - 60 61 +
Type of Occupancy		Please Select... Owner Occupier Council Tenant Private Tenant Housing Association Tenant Homeless Living With Parents
School (if applicable)
Ethnic Group
Please Select... White Mixed Asian - Asian British - Asian English - Asian Scottish Or Asian Welsh Black - Black British - Black English - Black Scottish Or Black Welsh Chinese - Chinese British - Chinese English - Chinese Scottish Or Chinese Welsh Any Other Background
Ethnic Background		Please Select... British English Scottish Welsh Irish Any Other Background Please Select... White And Black Caribbean White And Black African White And Asian Any Other Background Please Select... Indian Pakistani Bangladeshi Any Other Background Please Select... Caribbean African Any Other Background Please Select... Chinese Please Select... Any Other Background Other
Preferred Language
Religion
Repeat Victim		Please Select... Yes No
Was previous incident reported?		Please Select... Yes No
Was the Victim Physically Hurt in the Incident?		Please Select... Yes No
Did the Victim need to visit the Hospital?		Please Select... Yes No
Reason for Incident

Disclosure of Information

Consent to Share Information		Please Select... Yes No
With the Following Agencies		North Wales Police North Wales Race Equality Network Victim Support Probation Service
Excluding the Following Details

Alledged Offender Details

Full Name
House & Street
Area
Town		Please Select... Mold Buckley Flint Holywell Connah's Quay Shotton Queensferry Hawarden Mancot
County
Post Code
Telephone No
Sex		Please Select... Male Female
Age Group		Please Select... Under 16 16 - 25 26 - 40 41 - 60 61 +
School (if applicable)
Ethnic Group (if known)
Please Select... White Mixed Asian - Asian British - Asian English - Asian Scottish Or Asian Welsh Black - Black British - Black English - Black Scottish Or Black Welsh Chinese - Chinese British - Chinese English - Chinese Scottish Or Chinese Welsh Any Other Background
Ethnic Background (if known)		Please Select... British English Scottish Welsh Irish Any Other Background Please Select... White And Black Caribbean White And Black African White And Asian Any Other Background Please Select... Indian Pakistani Bangladeshi Any Other Background Please Select... Caribbean African Any Other Background Please Select... Chinese Please Select... Any Other Background Other
Description of Alleged Offender