Community Trigger – victim / witness

You can submit a Community Trigger request using this form, if you have reported three times in the last six months separate, but related, anti-social incidents to agencies and the problem persists.

Your Contact Details

Incident One Details:

Incident Two Details:

Incident Three Details:

Additional Information

If you are reporting any incident which involves discrimination or abuse that was racial, sexual or about a disability please complete the relevant sections below.

What sex are you?


Do you have a disability?


Consent from Victim

If you are the victim and requesting the case review, please sign the declaration below. If you are acting on behalf of a victim/s involved in this case, please ask them to sign the below declaration before submitting the Case Review request form. A signature is required from each Victim related to this submission.

“As a victim of the incident/s indicated on this form, I give consent for the Community Safety Partnership to request information from relevant organisations, including the Local Council, Police, health providers and housing associations about the case and to share that information with appropriate agencies in order to determine if a case review meeting should take place.”

Thank you for submitting this information. You will be contacted within three working days to confirm receipt of your submission.

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