REPORT FORM

Following the December 2, 2015 San Bernardino, California attacks and recent political rhetoric, the Sikh Coalition has received a sharp uptick in complaints alleging intimidation, harassment, discrimination and hate violence against Sikh Americans. We developed this reporting form to make it easier for Sikhs to report these incidents, even if it they are not legally actionable or a crime (e.g., someone uses a racial slur on the street). This form is also open to non-Sikhs from all backgrounds based in the United States.  

All personal information reported through this form will be kept strictly confidential. Please note that filling out this form does NOT constitute a request for legal assistance from the Sikh Coalition or create an attorney-client relationship with the Sikh Coalition. This form is for informational purposes only.

If you require legal assistance and need a response from our legal team, please complete a legal intake form.  Note, we only handle select cases of bias-based discrimination against members of the Sikh community.  

Contact Information:

*First Name

*Last Name

*Your Email

*Your Phone

*Address


Demographic Information:

*Gender

*Age

*Religion

*Ethnicity


What Happened?

*What kind of incident: choose all that apply

*When did this happen:

*Where did this happen:

*Describe the location:

Why do you think you were targeted: choose all that apply

*Please Describe The Incident:
Please provide as many details as possible including who was with you, the surroundings, how you were dressed and approached.

*Were there any witnesses?

*Did you report this to the police?

Looking for legal assistance from the Sikh Coalition instead?
The Sikh Coalition provides legal assistance to Sikhs who have faced discrimination or bias based upon their religious beliefs or Sikh identity. We provide each of our clients with the highest quality of legal service. We therefore selectively accept a limited number of cases based on our ability to provide this level of service. We do not accept every potential legal matter. If you require legal assistance from the Sikh Coalition and your case falls within these parameters, please fill out our legal request assistance form here and our legal team will aim to contact you within 1-3 business days.

The information provided will never be sold or rented to a third party. We may share this information with organizations that research or advocate against hate crime. No identifying information (such as name, phone, email, or street address) about yourself will be shared with any third parties without your consent.
I do not want this report to be shared with other organizations that research or advocate against hate crimes.