REPORT RACISM

One Love Australia is acting as an independent third party when collecting information about racist incidents around the country.

When filling in this form you may choose to be anonymous, or provide us with your contact information to reach out if required. We ask that you only make submissions that you’ve experienced or witnessed first hand.

YOUR DETAILS

Name

First Name

Last Name

Phone Number

Do You Want Your Report to Remain Anonymous?

Yes

THE REPORT

Your Affiliation

Are you associated with one of the clubs/teams involved? What is the name of the club?

Other Parties

Who were the other parties involved? E.g. opposition club, member of the public, police/authorities etc.

Describe what happened

Please include: date, location, fixture and information about the incident - who/what/when/where. Include as much detail as possible here.

Were there other witnesses to the incident?

Yes

Not Sure

Which sporting body oversees the fixture?

Which league or association runs the fixture where the incident took place?

What is the sport the incident took place at?