Online Reporting Form

You can report an incident of discrimination in football - whether it took place online or at a grassroots, non-league or professional game - by filling in the online reporting form below.

Visit Kick It Out’s ’Other Reporting Methods’ page if you prefer to contact us via a different format, including the Kick It Out app - as advertised above.

Your details

Name *

Address

Postcode

Telephone number

Email *

Do you wish to remain anonymous

YesNo

Location of incident

Fixture at which incident took place, (including league or competition) date and venue of match

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

What is your position at the club? Supporter/Employee/Parent/Player/Other

Description of offender(s) if known

Where was (were) the offender(s) positioned? (Stand/block/row/seat number if a professional game)

Details of incident

Please provide as many details as possible including time of incident, what was said, names of those involved if known *

Were match stewards and/or police informed of the incident? (If yes, please give details of how they dealt with the incident)

Did the referee take any action in response to the incident?

Were there any other witnesses to the incident? (If so, state who)

Have you contacted the Club, League or County FA to inform them of the incident? (If yes, please provide the name of person contacted and date of correspondence)

Additional information

Details

Send