You can use this form if you as an individual, group or business have reported 3 separate incidents to any local agency relating to the same or similar issue of anti social behaviour within the last 6 months.
Please note that the ASB case review process does not replace individual organisations’ own complaints procedures, which should be used if you are dissatisfied with the service of an individual agency.
Please provide as much information as you can on this form to allow us to investigate your case as quickly as possible.
Name
Address
Postcode
Date of birth
Daytime telephone number
Email Address
If you are reporting this on behalf of a group please give the name or brief details of the group
Accommodation status Council tenantPrivate tenantOwner occupierHousing associationOther
Please give details of the 1st incident
What date did this take place
Who did you report it to? (Please include any officer or staff names and reference numbers that you have)
Please describe the response you received
Please give details of the 2nd incident
Please give details of the 3rd incident
Please describe how these incidents are affecting you
If you have any further information please let us know
If you are completing this form on behalf of somebody else, please give your name and relationship to the person affected by this situation
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