Antisemitic Incident Report Form

In order to monitor antisemitic incidents in the Czech Republic and to investigate them further, we would like to ask for your cooperation. If you have encountered an incident (as a victim or as a witness) that you perceive to be antisemitically motivated, please fill in more detailed information in the form below. Thank you.

Federation of Jewish Communities in the Czech Republic

IHRA working definition of antisemitism adopted in May by The International Holocaust Remembrance Alliance Plenary

Report an incident

Name

E-mail*

Place of incident*

Date of incident*

Type of incident*

Further descript. of the incident*

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Consent to the processing of the personal data*

I filled out this form voluntarily and confirm the data entered are correct to the best of my knowledge. I hereby consent to the processing of the personal data that I have provided and declare my agreement with the data protection regulations for the purposes of monitoring and further investigation of the reported incident.

Information to the collecting and processing of personal data here.

S	M	T	W	T	F	S
	22 Ad 1	23 Ad 2	24 Ad 3	25 Ad 4	26 Ad 5 26 Adar Shabbat 19:14	27 Ad 6 27 Adar Shabbat 20:22 Shabbat HaChodesh Parashat Shmini
28 Ad 7	29 Ad 8	1 Ni 9 1 Nisan Rosh Chodesh	2 Ni 10	3 Ni 11	4 Ni 12 4 Nisan Shabbat 19:24	5 Ni 13 5 Nisan Shabbat 20:34 Parashat Tazria
6 Ni 14	7 Ni 15	8 Ni 16	9 Ni 17	10 Ni 18	11 Ni 19 11 Nisan Shabbat 19:35	12 Ni 20 12 Nisan Shabbat 20:46 Shabbat HaGadol Parashat Metzora
13 Ni 21	14 Ni 22 14 Nisan Ta'anit Bechorot Erev Pesach	15 Ni 23 15 Nisan Pesach I	16 Ni 24 16 Nisan Pesach II	17 Ni 25 17 Nisan Pesach III (CH''M)	18 Ni 26 18 Nisan Shabbat 19:45 Pesach IV (CH''M)	19 Ni 27 19 Nisan Shabbat 20:58 Pesach V (CH''M)
20 Ni 28 20 Nisan Pesach VI (CH''M)	21 Ni 29 21 Nisan Pesach VII	22 Ni 30 22 Nisan Pesach VIII

Report an incident

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