Report anti-social behaviour Use this form to report anti-social behaviour Note: Questions marked by * are mandatory *This is a mandatory field. Your name *This is a mandatory field. Your address *This is a mandatory field. Your contact telephone number Your email address What has happened Who has been causing the problems? Yes No Have the police been involved? Has the issue been raised with us before? Have you got any special requirements we need to consider when dealing with this case? eg translator, same sex officer, signer. All information is sent through to a secure line and will be used only for the purpose for which this is intended. All information given will only be kept for as long as it is needed and will be kept in strict confidence. Information may be shared with the police but only if necessary. Type of ASB Alcohol related nuisance Domestic violence/abuse Drugs/substance misuse/drug dealing Garden nuisance Hate related incidents Litter/rubbish/flytipping Misuse of communal areas/public spaces/loitering Noise Nuisance from vehicles Pet and animal nuisance Physical abuse Prostitution/sexual acts/kerb crawling Vandalism and damage to property Verbal abuse/harassment/intimidation/threatening behaviour Youth nuisance * Spam Guard: What is 2+2? (Write the number as a word.)
