You have experienced or became witness of a discrimination? Our counselling team will readily offer you a legal evaluation of your case, so that you may decide on the further procedure. If you do not wish to receive counselling, but want to outline your experience, we will register your report. In this way you help us with our political work. In both cases we need particulars which we have marked with *. As a matter of course, you can describe the facts of your case anonymously. Therefore, particulars of your name may be provided on a voluntary basis. Please take note that we will only be able to answer you if you give us your e-mail address or telephone number. Please also note our privacy statement.
Instructions for filling in the form
Please note that all blanks marked with * have to be filled in before the form can be sent.