Report discrimination, abuse or microaggressions at Amaze

Report discrimination, abuse or microaggressions at Amaze

Amaze is committed to being an inclusive and supportive service and workplace. If your experience with us falls short of this, we want to know, so we can do better.

Report an Incident

Report an Incident

Please complete this form if you feel you have experienced discrimination, abuse or microaggressions when accessing support from - or working at - Amaze. This may have been related to race, ethnicity, religion, belief, disability, sex or gender, sexual orientation, age, marriage and civil partnership, pregnancy and maternity, or being trans or non-binary.

If you have experienced these things when accessing any other service, we strongly encourage you to report this to that particular service directly. However, if you don’t feel comfortable doing this, you can complete our form and we will report it on your behalf.

Please complete the questions below, or download an incident report form [.doc 31kb] and email it to our CEO Rachel Travers at rachel@amazesussex.org.uk, or another member of staff if you would feel more comfortable.

Did this incident happen at Amaze? *
Time of incident
:
What does the incident relate to? (Tick all that apply) *
What happened? (Tick all that apply) *

Incident details

In order to enable us to respond to your enquiry without having to contact you for more information, please be as specific as possible with the information that you supply.
Have you experienced this type of incident at Amaze before? (Or if you are reporting an incident that happened at a different service, have you experienced this type of incident at that service before?
If yes, please tell us how many times

Your details

If we need more information, is it okay to contact you? If so, please provide your details below. Giving us your details also means we can let you know what we have done with your incident report. Please note, if we cannot contact you for further information, this may limit our ability to investigate this incident, and prevent future recurrences.
How would you like to be contacted?
Were there any witnesses to the incident?
If you are reporting an incident with a different organisation/service, are you happy for us to share with them the information you've provided here *

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