Report discrimination

If you submit this form, we will include your report of discrimination in our documentation and statistics. Your information is voluntary, anonymous and will be treated in strict confidence.

If you would like to make an appointment for a consultation or contact us personally, please complete the "Request consultation" form.
1. details of the incident

Please briefly describe what happened: Where did the incident take place? Who discriminated against you? How did the incident end? Who else was involved?

2. details (optional)

The evaluation will be easier if you answer the following 4 questions.

Multiple answers are possible.

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e.g. because of skin color, language, accent, name, residence status, membership of a particular group

e.g. due to chronic illness; psychiatric assessments; learning difficulties; impairment of physical mobility, verbal expression, sensory perception, performance, mental health

e.g. women, trans*, inter*, non-binary people

e.g. because of homosexuality, bisexuality, asexuality, pansexuality

any age

e.g. for belonging to a religious community, wearing religious symbols/clothing, atheism

e.g. due to educational status, income situation, homelessness, residential area, social background, single parenthood

e.g. due to body weight, body shape, skin appearance

Multiple answers are possible.

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e.g. authorities, offices, e.g. social welfare office, youth welfare office, employment agency, immigration office

e.g. museum, library, swimming pool

e.g. train, bus, cab

e.g. labor market, workplace, job placement, application procedure, certificate

e.g. house hunting, tenancy

e.g. school, training, university, daycare center

e.g. medical practices, hospitals, pharmacies, therapy facilities

e.g. supermarket, specialty store, department store, bank, insurance company, post office, telephone company

e.g. restaurant, bar, cinema, disco, sports club, fitness studio, hotel

e.g. family, community, neighborhood, living environment

e.g. press, television, radio, internet, social media

3. contact details (optional)
I hereby confirm the privacy policy
Yes, I have read the privacy policy and agree that the data I have provided may be collected and stored electronically.

If I would like advice, I have also taken note of the information sheet for advice seekers on data protection.

My data will only be used strictly for the purpose of processing and responding to my inquiry. By submitting the contact form, I agree to the processing and storage of my data.