Hate Crime Option 2a

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1-699 (Rev. 05-14-12)

Option 2

HATE CRIME INCIDENT REPORT

OMB No. 1110-0015
Expires 06-30-15

This report is authorized by Title 28, Section 534, U.S. Code, and the Hate Crime Statistics Act of 1990. Even though you are not
required to respond, your cooperation in using this form to report hate crimes known to law enforcement during the quarter will
assist the FBI in compiling timely, comprehensive, and accurate data regarding the incidence and prevalence of hate crime
throughout the nation. Please submit this report monthly, by the 15th day after the close of the month, and any questions to the
FBI, Criminal Justice Information Services Division, Attention: Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road,
Clarksburg, West Virginia 26306; telephone 304-625-4830, facsimile 304-625-3566. Under the Paperwork Reduction Act, you
are not required to complete this form unless it contains a valid Office of Management and Budget (OMB) control number. The
form takes approximately 7 minutes to complete. Instructions for preparing the form appear below.
GENERAL
This report is separate from and in addition to the traditional Summary Reporting System submission. In hate crime reporting,
there is no Hierarchy Rule. Offense data (not just arrest data) for Intimidation and Destruction/Damage/Vandalism of Property
should be reported. On this form, all reportable bias motivated offenses should be included regardless of whether arrests have
taken place. Please refer to the publication Hate Crime Data Collection Guidelines and Training Manual for additional
information.
HATE CRIME INCIDENT REPORT
The Incident Report should be used to report a bias motivated incident or to adjust information in a previously reported incident.

Instructions for preparing the Hate Crime Incident Report
Administrative Information
Report Type: (Required) Indicate the type of report as Initial or Adjustment.
Initial-To report a hate crime incident.
Adjustment-To update a hate crime incident previously reported.
(Note: This will delete the information already on file and insert the information provided in this report.)
ORI Number: (Required) Enter the nine-character Originating Agency Identifier assigned to your agency.
Date of Incident: (Required for Initial or Adjustment Reports)
Provide the date of the hate crime incident in the format of MMDDYYYY.
Incident Number: (Required for Initial or Adjustment Reports)
Profide an identifying incident number, preferably your case or file number.
The number can be up to 12 characters in length.
Valid characters include: A through Z, 0 through 9, hyphens, and/or blanks.
Page

of

of same incident: If additional Incident Reports are used, make an appropriate entry into this portion.

The sections highlighted in light yellow are fillable fields.
The boxes displaying a drop-down arrow are selectable fields.
The boxes containing the toggle buttons are referred to as list boxes.

Initial

Adjustment

ORI

Date of Incident

/
Month

Page

Incident No.

1 of

/
Day

Year

1 of Same Incident

Offense Information
Offense Code: Select up to five offense codes from the selectable fields provided below for each bias motivated offense.
Number of Victims: Enter the number of victims for each bias motivated offense.
The fillable fields allow for up to a three-digit number to be entered.
Number of victins are inclusive of Individual, Business, Financial Institution, Government, Religious Organization, Other, and
Unknown.
Offense Code

Number
of Victims

Offense #1
Offense #2
Offense #3
Offense #4
Offense #5

Location Information
Offense Location Codes: Select one location code for Offense #1 from the selectable field provided below.
Select an additional location code from the selectable fields below for each additional offense that has a different location than
Offense #1.
Location Code
Offense #1
Offense #2
Offense #3
Offense #4
Offense #5

Bias Motivation Information
Bias Motivation Codes: Select up to five bias motivations for Offense #1 from the list box provided below.
Using the toggle buttons located between each set of boxes, move the selected biases in the left-hand list box to the box on the
right.
Select up to five bias motivations from the list boxes for Offenses #2 - #5 having a different bias motivation(s) than Offense #1.
The "Group" bias motivation categories, e.g., Multiple Races-Group; Multiple Religions-Group; and Lesbian, Gay, Bisexual, an
Transgender-Mixed Group, can be selected when the incident involves a group of victims, not individual victims.
Select up to 5 bias motivations per offense
Offense #1

Selected bias motivations
>>
<<

Offense #2

>>
<<

Offense #3

>>
<<

Offense #4

>>
<<

Offense #5

>>
<<

If Race/Ethnicity/Ancestry bias motivation, then select from below:
13 Anti-American Indian or Alaska Native
31 Anti-Arab
14 Anti-Asian
12 Anti-Black or African American
32 Anti-Hispanic or Latino
15 Anti-Multiple Races-Group
16 Anti-Native Hawaiian or Other Pacific Islander
33 Anti-Other Race/Ethnicity/Ancestry
11 Anti-White
If Religion bias motivation, then select from below:
83 Anti-Buddhist
22 Anti-Catholic
81 Anti-Eastern Orthodox (Russian, Greek, Other
84 Anti-Hindu
24 Anti-Islamic (Muslim)
28 Anti-Jehovah's Witness
21 Anti-Jewish
29 Anti-Mormon
26 Anti-Multiple Religions-Group
82 Anti-Other Christian
25 Anti-Other Religion

23 Anti-Protestant
85 Anti-Sikh
27 Anti-Atheism/Agnosticism

If Sexual Orientation bias motivation, then select from below:
45 Anti-Bisexual
41 Anti-Gay (Male)
44 Anti-Heterosexual
42 Anti-Lesbian
43 Anti-Lesbian, Gay, Bisexual, or Transgender (Mixed Group)
If Disability bias motivation, then select from below:
52 Anti-Mental Disability
51 Anti-Physical Disability
If Gender bias motivation, then select from below:
62 Anti-Female
61 Anti-Male
If Gender Identity bias motivation, then select from below:
72 Anti-Gender Non-Conformin
71 Anti-Transgender

Victim Information
Select all applicable victim types for each reported offense from the list boxes provided below.
Using the toggle buttons located between each set of boxes, move the selected victim types from the left-hand list box to the box on
the right.
Select the applicable victim types
Offense #1

Selected victim types
>>
<<

Offense #2

>>
<<

Offense #3

>>
<<

Offense #4

>>
<<

Offense #5

>>
<<

*Number of Victims: When victim type is individual, enter the total number of individuals (persons) who were victims in the
incident.
Enter the total number of individuals (persons) who were victims in the incident that are 18 and over.
Enter the total number of individuals (persons) who were victims in the incident that are under the age of 18.
Each fillable field allows for a three-digit number to be entered.
Total number of victims.
Total number of victims 18 and over.

Total number of victims under 18.

Offender Information
Number of Offenders: Enter the total number of individuals (persons) who were offenders in the incident.
Enter the total number of individuals (persons) who were offenders in the incident that were 18 and over.
Enter the total number of individuals (persons) who were offenders in the incident that were under the age of 18.
If any of these three fields are unknown, enter 00 in the corresponding two-digit field.
Incidents involving multiple offenders must not be coded as Unknown Offender.
Indicate an Unknown Offender when nothing is known about the offender including the offender's race.
When the Race of Offender(s) has been identified, indicate at least one offender.
Each fillable field allows for a two-digit number to be entered.
Total number of offenders. If unknown, enter 00.
Total number of offenders 18 and over. If unknown, enter 00.
Total number of offenders under 18. If unknown, enter 00.

Race and Ethnicity of Offender or Offender Group
Race: Select one race for the offender from the selectable field below.
If there was more than one offender, provide the race of the group as a whole.
If the offenders within the incident are determined to be from more than one racial group, the "Group of Multiple Races" option
should be selected.
If the number of offenders is entered as Unknown Offender, then the offender's race must also be indicated as Unknown.
Race
Ethnicity: Check one ethnicity for the offender from the selectable field below.
If there is more than one offender, provide the ethnicity of the group as a whole.
If the offenders within the incident are determined to be from more than one ethnic group, the "Group of Multiple Ethnicities" o
should be selected.
If the number of offenders is entered as Unknown Offender, then the offender's ethnicity must also be indicated as Unknown.
Ethnicity

DEFINITIONS FOR HATE CRIME DATA COLLECTION
To ensure uniformity in reporting nationwide hate crime statistics, the following definitions have been adopted for use in hate
crime reporting:
Bias Crime: A committed criminal offense that is motivated, in whole or in part, by the offender's bias(es) against a race,
religion, disability, sexual orientation, ethnicity, gender, or gender identity; also known as Hate Crime.
Note: Even if the offender was mistaken in his or her perception that the victim was a member of the group he or she
wasacting against, the offense is still a bias crime because the offender was motivated by bias against the group.
Bias: A preformed negative opinion or attitude toward a person or group of persons based on their race, religion, disability,
sexual orientation, ethnicity, gender, or gender identity.
Racial Bias: A preformed negative opinion or attitude toward a person or group of persons who possess common physical
characteristics, e.g., color of skin, eyes, and/or hair, facial features, etc., genetically transmitted by descent and heredity
which distinguish them as a distinct division of humankind, e.g., Asians, Blacks or African Americans, Whites.
American Indian or Alaska Native: A person having origins in any of the original peoples of North or South
America
(including Central America), and who maintains tribal affiliation or community attachment.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian
subcontinent
including, for example Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,
and Vietnam.
Black or African American: A person having origins in any of the black racial groups of Africa. Terms such as
"Haitian" or "Negro" can be used in addition to "Black or African American."
Multiple Races-Group: A group of persons having origins from multiple racial categories.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam,
Samoa, or other Pacific Islands.
White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Ancestry Bias: A preformed negative opinion or attitude toward a group of people based on their common lineage or
descent.
Arab: A person having origins, and/or ancestry, in any of the Arabic speaking peoples of Lebanon, Syria, Palestine,
Jordan, Iraq, Saudi Arabia, Yemen, Oman, United Arab Emirates, Qatar, Bahrain, Kuwait, Egypt, Libya, Tunisia,
Comoros, Algeria, Morocco, Sudan, Djibouti, Mauritania, and Samalia.
Ethnicity Bias: A preformed negative opinion or attitude toward a person or group of people whose members identify with
each other, through a common heritage, often consisting of a common language, common culture (often including a
shared religion) and/or ideology that stresses common ancestry. The concept of ethnicity differs from the closely
related term race in that "race" refers to grouping based mostly upon biological criteria, while "ethnicity" also
encompasses
additional
cultural
factors.
Note: When the
FBI's Hate
Crime
Statistics Program was initially implemented, ethnicity bias was reported as
ethnicity/
national origin bias. It was then modified by the OMB's 1997 Revision to the Standards for the Classification
of Federal Data on Race and Ethnicity.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture
or origin, regardless of race. The term, "Spanish origin," can be used in addition to "Hispanic or Latino."
Not Hispanic or Latino: A person not of "Spanish origin."
Religious Bias: A preformed negative opinion or attitude toward a person or group of persons who share the same religious
beliefs regarding the origin and purpose of the universe and the existence or nonexistence of a supreme being, e.g.,
Catholics, Jews, Protestants, Atheists.
Note: The following list of religions represents the major religions in the United States. Neither this list of religions nor
the definitions provided are all-inclusive. A general explanation is provided for each religion.
Buddhist: A person who follows the world religion founded by Siddhartha Gautama, the Buddha, or Enlightened One,
in India; teaches about reincarnation and freedom from worldly attachments; believe that to end suffering, one must
follow the Four Noble Truths and the Eightfold Path in order to reach nirvana.

Catholic: A person who follows the monotheistic religion of Catholic Christianity founded by Jesus Christ. Catholics
believe in the Trinity, revere the Virgin Mary and saints, follow the teachings of the Bible, place great importance
on
church traditions, and require celibacy of those in the priesthood. Catholicism follows a hierarchy of deacons,
priests,
bishops/archbishops, and Cardinals, with the Pope being the head of the church.
Eastern Orthodox (Russian, Greek, Other): A person who follows the monotheistic religion of the Eastern Christian
Church founded by Jesus Christ. Orthodox churches follow the teachings of the Bibile and church traditions.
Orthodox churches believe the Holy Spirit proceeds from the Father alone. The Patriarch of Constantinople is the
head of the church and is governed by the Seven Ecumenical Councils. The Orthodox churches split from the
Roman
Catholic Church over the issue of papal authority and the belief of the Trinity.
Hindu: A person who follows the religious traditions of Hinduism which includes acceptance of the sanctity of the
Vedas(sacred texts); the understanding of one Devine Reality manifested in multiple forms; acceptance of the laws of
karma,
dharma, reincarnation, and the ultimate spiritual goal of enlightenment.
Islamic (Muslim): A person who follows the monotheistic religion of the Muslims, founded by the Prophet
Muhammad.
Muslims follow the teachings of the Koran and practice the Five Pillars of Islam: praying, fasting during Ramadan,
almsgiving, pilgrimage, and declaration of faith.
Jehovah's Witness: A person who follows the religion founded by Charles Taze Russell. Members witness by
distributing literature and by personal evangelism to beliefs in the theocratic rule of God, the sinfulness of
organized
religions and governments, and an imminent millennium. Jehovah's Witnesses reject the belief of the Trinity and con
every member into a Witness. Jehovah's Witnesses are governed by the Watchtower Society who makes all major
decisions, interprets the Bible, and counsels witnesses using Watchtower materials.
Jewish (Judaism): A person who follows the religion founded by Abraham of the ancient Hebrews and characterized
by belief in one transcendent God, who has revealed himself to Abraham, Moses, and the Hebrew prophets, and by a
religious life in accordance with Scriptures, the Torah, and rabbinic traditions. Jews anticipate the coming of the
Messiah (person of God) who will unite the world and bring peace to humanity.
Mormon: A person who follows the religion founded by Joseph Smith; also referred to as Church of Jesus Christ of
Latter-day Saints. Mormons follow the teachings from the Book of Mormon, the Bible, Doctrines and Covenant,
the

Pearl of Great Price. Mormonism is characterized by a unique understanding of the Godhead, emphasis on family life
belief in the continuing revelation, desire for order, respect for authority, and missionary work. The governing bodie
of Mormonism include: the First Presidency (church president and two councilors), the Council of the Twelve
Apostles, the First Quorum of Seventy, a Bishop, and two councilors.
Multiple Religions-Group: A group of persons having religious beliefs from multiple religions.
Other Christian: A person who follows nondenominational religions based on the life and teachings of Jesus Christ.
Examples of these religions include Metaphysical-Christ Church Unity, Spiritualist, Unity/Unitarianist, Unity
Church,
Universalist, and Other Metaphysical.
Other Religions: A person who follows other non Christian religions, e.g., the Baha'l Faith, Jainism, Shintoism,
Taoism,
Tenrikyo, Wicca, and Zoroastrainism.
Protestant: A person who follows the monotheistic religion of Christianity founded by Jesus Christ. Members affirm
the Reformation prinicples of justification by faith alone, the priesthood of all believers, and the primacy of the Bible
as
thesource of revealed truth. Protestant denominations deny the universal authority of the Pope and are governed
only
by
federated councils on the local, national, and international levels. Protestant denominations include but are not
limited
to Amish, Assembly of God, Baptist, Church of Christ, Church of God, Episcopalian, Methodist, Lutheran,
Presbyterian, Quaker, and Seventh-day Adventist.
Sikh: A person who follows the monotheistic religion founded by Guru Nanak in the Punjab region of South Asia.
Sikhsfollow the teachings of 10 gurus; study from the religion's primary sacred text, the Adi Granth; and worship in
temples
called Gurdwaras. Observant Sikhs may be distinguished by the dastarr (turban - men) or bana (women) and five
religious articles: kesh (unshorn hair, including a beard), kanga (wooden comb), kara (steel bracelet), kachera
(short trousers), and kirpan (religious sword).
Atheist: A person who does not believe in the existence of God or gods. Agnostic: A person who believes that the
existence or nature of God cannot be proven; the concept of agnosticism was founded by Thomas Huxley.
Sexual Orientation Bias: A preformed negative opinion or attitude toward a person or group of persons based on their
actual or perceived sexual orientation.

Bisexual: A person who is physically, romantically, and/or emotionally attracted to people of both the same and
opposite
sex.
Gay (Male): A male who is physically, romantically, and/or emotionally attracted to other men.
Note: Generally this word is used to refer to gay men, but may also be used to describe women. For FBI UCR
Program purposes, if reporting an anti-gay bias, the victim should be a male.
Heterosexual: A person who is physically, romantically, and/or emotionally attracted to people of the opposite sex.
Lesbian: A female who is physically, romantically, and/or emotionally attracted to other women.
Lesbian, Gay, Bisexual, or Transgender (Mixed Group): Refers to a group of people or community organizations
that serve lesbian, gay, bisexual, transgender, and allied people.
Disability Bias: A preformed negative opinion or attitude toward a person or group of persons based on their physical or
mental impairments, whether such disability is temporary or permanent, congenital, or acquired by heredity, accident,
injury, advanced age, or illness.
Mental Disability: A person who has a mental or psychological disorder such as mental retardation, organic brain
syndrome, emotional or mental illness, and specific learning disabilities.
Physical Disability: A person who has a physical impairment; any physiological disorder or condition, cosmetic
disconfiguration, or anatomical loss affecting one or more of the following body systems: neurological,
musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive,
digestive,
genitourinary, hemic and lymphatic, skin, and endocrine.
Gender Bias: A preformed negative opinion or attitude toward a person or group of persons based on their actual or
perceived gender, e.g., male or female.
Female: A person of the sex that bear offspring or produce eggs.

Male: A person of the sex that can beget offspring by fertilization or insemination.
Gender Identity Bias: A preformed negative opinion or attitude toward a person or group of persons based on their actual
or perceived gender identity, e.g., bias against transgender or gender non-conforming individuals.
Gender Non-Conforming: A person who does not conform to the gender-based expectations of society, e.g., a woman
dressed in traditionally male clothing or a man wearing makeup.
Note: A gender non-conforming person may or may not be a lesbian, gay, bisexual, or transgender person but may
be perceived as such.
Transgender: A person who identifies as a different gender from their gender as assigned at birth.
Note: The person may also identify himself or herself as "transsexual."
Note: A transgender person may express their gender identity through gender characteristics, such as clothing,
hair, voice, mannerisms, or behaviors that do not conform to the gender-based expectations of society.
Note: A transgender person may outwardly express his or her gender identity all of the time, part of the time, or
none of the time; a transgender person may decide to change his or her body to medically conform to his or her
gender identity.