We treat reports of anti-social behaviour extremely seriously. Please outline the details of the problem and we'll get back to you as quickly as possible.


Your full name
Your address
Your email address
 
Please re-enter your email address
 
Your phone number
The name of the person causing the problem (if known)
The address of the person causing the problem (if known)
Please provide details of the issue and anything else you would like to make us aware of:


Local authority

































 
Please answer the following questions:
Do you feel that this incident is linked to your faith (religion), age, sexual orientation, ethnic origin, gender identity or disability?
 
Is the person causing the problems actively intimidating or targeting you, your family or members of your household and/or has this behaviour been targeted towards you or your family before?
 
Has this incident/these incidents significantly impacted on your physical or mental health?
 
Do you feel especially at risk or vulnerable?
 
Has this incident left you feeling somebody will hurt you or your family?
 
Has this incident left you feeling that you might hurt yourself?
 
Do you have friends, family or other support to speak to about this incident?