Report discrimination

When you submit this form, we will include your discrimination report in our documentation and statistics. You provide information on a voluntary and anonymous basis, and it will be treated as strictly confidential.

If you would like an advice appointment or want to get in touch with us in person, please complete the Request advice form.

1. Information about the incident
Who was discriminated against?

Please give a brief description of what happened: Where did the incident take place? Who discriminated against you/the other person? How did the incident end? Who else was present?

2. Details (optional)

It will be easier for us to assess your report if you are able to answer the four questions below.

Why do you think the discrimination occurred? What characteristics or assumptions was the discrimination based on?

You can give multiple answers if you need to.

e.g. due to skin colour, language, accent, name, residency status, belonging to a particular group
e.g. due to chronic illness; psychiatric assessment; learning difficulties; impairment of physical mobility, verbal communication, sensory perception, capacity or mental health
e.g. women, transgender, intersex, non binary
e.g. due to homosexuality, bisexuality, asexuality, pansexuality
any age
e.g. due to membership of a religious community, wearing religious symbols/clothing, atheism
e.g. due to level of education, income, homelessness, place of residence, social background, single parent
e.g. due to weight, body shape, appearance of skin
Where were you or the other person discriminated against?

You can give multiple answers if you need to.

e.g. authorities or agencies such as the social welfare office, youth welfare office, employment agency, immigration authority
e.g. museum, library, swimming pool
e.g. train, bus, taxi
e.g. job market, workplace, employment agency, application process, references
e.g. house hunting, tenancy
e.g. school, training, university, nursery
e.g. doctor’s surgeries, hospitals, pharmacies, treatment facilities
e.g. supermarket, specialist shop, department store, bank, insurance company, post office, telephone company
e.g. restaurant, bar, cinema, nightclub, sports club, gym, hotel
e.g. family, community, neighbourhood, living environment
e.g. press, television, radio, internet, social media
How did you become aware of the Anti Discrimination Office?
3. Contact details (optional)

Many thanks for your report.

All the information in this form is provided on a voluntary basis. If you would like us to contact you, please provide the following information.

Would you also like us to contact you?

Yes, I have noted the privacy policy, and I agree to the electronic collection and storage of the data that I have provided.

If I am seeking advice, I have also noted the information sheet for people seeking advice.

My data will be used only to process my enquiry and respond to it. By submitting this contact form, I declare that I consent to the processing of my data.