Anti Social Behaviour Incident Reporting Form

PLEASE NOTE: ANY INFORMATION YOU GIVE US WILL BE TEATED IN THE STRICTEST CONFIDENCE.

Details of the incident may be shared with other organisations, such as the police, where appropriate. We will inform you if this is the case. The information you provide will be treated in accordance with the Data Protection Act 1998 and your rights under that Act.

For more information about the Data Protection Act can be found on the councils website, or you may like to visit the Information Commissioners website at www.ico.gov.uk.

In order for us to process your report we need details of how we may contact you should we need to, this can be a name and address, an email address or a telephone number.

Information about the incident.

Any detailed information given will assist officers investigating your complaint. Please ensure that you only record details of incidents which you have personally witnessed. By submitting the information, you are certifying that it is a true statement of what you have experienced.
 

 
Have you reported this incident to the Police?
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?

Details of this incident may be passed to other organisations to enable us to successfully investigate the incident and also to ensure a satisfactory and safe outcome for you

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