Anti-social behaviour case review group application

Progress

About you

Before you begin

This request will only be considered if the details given are of five individuals who have complained separately in the last six months about similar incidents of anti-social behaviour.

Your details
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

Are you one of the individuals affected by this incident?

About the affected individuals

About the first individual
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

About the second individual
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

About the third individual
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

About the fourth individual
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

About the fifth individual
Address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

About the incident

Incident and response details
Can you provide any photographic or video evidence to support the complaint(s)?

We will only consider complete recordings of the entire conversation, meeting or incident, not highlights or snippets. The time and date the recording was made should be included.

To upload multiple files, hold 'Ctrl' (Windows) or 'Cmd' (Mac) when selecting files to upload.

Confirmation

Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page