Report an Incident

If you believe you have been the victim or witness of discrimination, harassment, or a hate crime, please fill out and submit an Incident Report Form with as much detail as possible. NCCM advocates on behalf of those who identify as Canadian Muslims and who have experienced anti-Muslim discrimination, hate or bias domestically. We will review your incident report form, and if your matter falls within NCCM’s mandate, we will contact you to proceed with the next steps. NCCM respects your privacy and confidentiality and will ensure that the information you share with us will not be shared with others without your consent. ** For further questions or inquiries, please contact us at info@nccm.ca

Last name*
First name*
Please describe the incident*
Include date, time, witnesses, and any details about religious discrimination.
Date of the incident
MM slash DD slash YYYY
Are you interested in only reporting this incident to NCCM, or would you like to take further action?
- Reporting only
- Further action
Province
Email*
Phone*
Authorization*
I authorize NCCM to discuss the details of my case with third parties, as necessary, who may be able to provide further assistance in resolving my complaint.
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Report an Incident

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