Report a harassment or discrimination incident

About This Form
 
This form may be used to report any harrassment or dicrimination incidents.
 

The discrimination or harassment can be due to ethnic origin, sexuality, religious belief, disability (physical, sensory, intellectual or mental health), gender, marital status, class, age, political affiliation, economic or health status.
 

Mandatory Fields
Please complete as much information as possible on this form.  Some fields are mandatory, so must be completed.  They are marked with a red asterisk.
 

Data Protection.
The Council may also use this information within the Council to exercise functions of a public nature in the public interest.