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City of Missoula
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Missoula Hate Crime and Bias Incident Report

  1. Would you like to remain anonymous?

  2. You are......

  3. Does the victim want contact from an official?

  4. Do you want contact from an official?

  5. The incident was or appeared to be:
    (select all that apply)

  6. You believe the incident was because of:
    (Select all that apply. If none apply, this is not a hate crime)

  7. To your knowledge, was this incident reported to any police agency?

  8. If so, which agency?

  9. Leave This Blank:

  10. This field is not part of the form submission.