Reporting anti-social behaviour (ASB)
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Please give a detailed description of the anti-social behaviour incident that has affected you. Make sure that you include the following points to help us resolve your issue as quickly as possible.
Title: Required
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Mr
Mrs
Miss
Ms
Dr
Mx
Contact details - please provide at least one telephone number
Best contact method: Required
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Email
Mobile phone
Home phone
Work phone
Where did it happen? Required
Who did it, or who was involved? If it was someone you don’t know, please describe them: Required
Any witnesses? Include details like; Name, address and phone numbers: Required
Did you report it to anyone else (e.g. the Police)? Required
How did it affect you? Please give as much detail as possible: Required
Have you, your household or family been subject to this type of incident before?
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Yes
No
Not sure
If this isn’t the first time, how often does it happen?
If this isn’t the first time, who did you report the incidents to and when?
Do you feel that you are being targeted or singled out?
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Yes
No
Not sure
If you feel that you are being targeted, do you know why?
If you do not feel that you are being targeted, can you think of anything that might be causing the anti-social behaviour?
Is anyone in your house disabled or suffering from a long term illness? If yes please give details:
Please complete the validation below: