Cia Siab Inc. created this Hate Incident Report Form, specific to the state of Wisconsin, with the purpose of giving individuals in the Hmoob community an outlet to report hate incidents in a confidential manner, while also encouraging individuals outside of the community to report any hate incidents that has occurred to them as well. Examples may include, but are not limited to, the use of degrading language or slurs (spoken or written) and physical harm suffered based on identity or perceived identity. A hate incident is any physically or verbally harmful act that is motivated by, or appears to be motivated by, any of the following: race/ethnicity, religion, national origin, immigration/citizenship status, sexual orientation, gender identity or expression, economic status, language, age, pregnancy or family/marital status, disability, veteran or military.
The form is accessible in English only. For language assistance and support please contact Mai, their Social Justice Director, at firstname.lastname@example.org