If you suffered or witnessed an incident, you can automatically create a document (message) that you will deliver in person or send by regular mail or e-mail.
Complete the form given below. Describe one incident at a time, and if there were more of them, click “More” and describe another. Keep filling in this way until you describe all incidents. If you have evidence (video, audio record, screenshot, etc.), attach it as an attachment.
When you have finished describing your last incident, click “Create”.
You can see what the created document will look like by clicking here.
Enter the name of the organization to which the request is intended, the position, name and surname of the person to whom the request is addressed.
Enter your first name and last name
Enter your residential address
Enter your phone number
Description of the incident / incidents:
Briefly describe the incident you attended or watched (describe one incident at a time)
When did it happen? (specify time for all incidents described)
Where did it happen? (specify locations for all incidents described)
What did the person(s) who attacked, harassed do, say?
What did the victim do, say?
Who saw, watched the event, how did he/she/they behave (if there were several people, indicate)?
What were the consequences (injuries, emotional pain, had to see a doctor and the like)?
What financial losses did you suffer?
If you have evidence to support the event, attach it here (up to 25 MB in size).
Your e-mail address to which the generated document will come.