Report Discrimination, Harassment, or Hate Crimes:

CAIRNY takes all reports of discrimination, harassment, and hate crimes very seriously.  We will endeavor to respond to your complaint as quickly as we are able to. 

  • If you are facing imminent danger, please stop filling out this form and immediately call 911. 
  • If you are looking for assistance regarding an interview with law enforcement (including the Federal Bureau of Investigations), please IMMEDIATELY call (646) 665-7599.
Name *
Name
Address
Address
Work Phone
Work Phone
Home Phone *
Home Phone
Cell Phone
Cell Phone
Please note English proficiency
Demographic Information (For Statistical purposes)
The Incident(s)
Who caused the incident(s)?
Type(s) of entity responsible.
Evidence
Please check all that apply: