Personal Incident Record Sheet - Victims of Racial Harassment
Personal Incident Record Sheet
(Please print out, complete and retain this Personal Incident Record Sheet for future reference)
| Date | Time | Place of Incident | Nature of Incident | Details of Perpetrators | Police & Other Agencies Involved | Effect on Person |
|---|---|---|---|---|---|---|
| 13/02/99 | 8.10 Approx. | Back garden | Threw stones into garden | Three white boys, about 10-15 years old (If name known then please state) | Police informed at 8.15 p.m. | Scared and upset |
| 13/02/99 | 9.30 p.m. | Police arrived | Police officer came and took statements, regarding the above incident. (State name and number of Police Officers and any action taken by them). | |||
Page last updated: 9 May 2008




