Reporting Discrimination

Please complete this form to report any incidents relating to discrimination. Sheffield & Hallamshire County FA will investigate all reported incidents.

Date of incident

Location of Incident

Please let us know exactly where the incident took place

Victim of abuse

Were you the victim of the abuse? If not, please describe who was

Description of offenders

Please describe in as much detail as possible

Details of the incident

Please provide as much detail as possible about the incident including time of incident, what was said, names of those involved if known.

Did you report the incident to anyone at the time?

If at a match or training session, did you report this to the referee, club official, team manager?

Were there any other witnesses to the incident?

If so, state who

Please upload any additional evidence that you may have

Drag and drop files here or

Any additional information

Please provide any further information that may be useful to our investigation

Your Name*

Please provide your contact details, we may need to contact you for further information

Your Telephone Number*

Please provide your contact details, we may need to contact you for further information

Your Email Address*

Please provide your contact details, we may need to contact you for further information

What is your involvement in football?

(Supporter, player, coach, volunteer, parent, other)

Send me a copy of my responses

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