EmailMe Form - Incident Reporting form

Your Details

Only details you give consent to share will be passed on. We will never pass on your name, telephone number or email address.

Name *

First Last

Your email address *

Your name and email address are required in order for Fare to update you on the course of action taken. We will never disclose or pass your personal details to anyone.

Country

City

Telephone number (including country code)

Do you wish your report to remain anonymous? *

Yes

No

Match Details

Fixture at which the incident took place *

Home team
Away team

Country *

League or Competition *

Venue of the Match

Date *

DD / MM / YYYY

Were you present at the match? *

Yes

No

If No, where did you get the information about the incident? E.g. Media/Social media reports, other witness evidence.

1. The Incident(s)

1.1. Please describe discriminatory incident(s) you would like to report (indicating what happened, where, if possible provide block/row and who was involved): *

1.2. Did the incident involve displays of banners, symbols, signs, gestures? *

Yes

No

1.2.1. If yes, please describe their meaning briefly and translate all banners/chants into English

1.3. Please attach, if available, any photographs taken or footage of the incident you recorded up to 10MB.

For larger files please go to www.ge.tt, upload your file and copy and paste the link into question 1.5.

1.4. Did the stewards, the referee or other supporters in the stadium react to the incident? Were there any announcements made over the tannoy system?

1.5. Any additional information you would like to provide about the incident, any links to media reports about the incident available?