Please look at our ASB toolkit for information what is and is not considered antisocial behaviour, and advice on steps you can take. Report antisocial behaviour First name * Surname * Street address and house number * Postcode * Email address * Telephone number * Preferred method of contact Phone Email Post Are you a Hyde resident? Yes No Details of the incident Where did the incident happen? Address or location of where the incident occurred When did the incident happen? Please enter date and time Who was involved in the incident? Please give name and address, or a description and any distinguishing features What happened? Write down exactly what you saw or heard How did this incident affect you? Write down the way the incident has made you feel, include its effect on the people you live with, eg has it stopped you sleeping? has it frightened your children? Witnesses Were there any independent witnesses? Yes No Name, address and contact number for witnesses Reporting to agencies Have you reported it to the police? Yes No Please give incident number/CAD Police officer's name/number Have you reported it to the local authority? Yes No Contact name Contact number Reference number Have you reported it to any other agency? Yes No Please give details and any reference number Upload relevant image Upload diary sheets Further details We would like to make contact with the person/s identified above to make them aware of the reported behaviour and give them an opportunity to comment about the allegations and where appropriate, give them a chance to change their behaviour. * I am happy for you to contact the person/s identified as responsible for the antisocial behaviour Yes No I am happy for you to disclose my identity to the person/s identified as responsible for the antisocial behaviour * If no, please be aware that this may limit our ability to investigate your report or agree any form of action and although we will not disclose your identity if you do not want us to, we cannot stop people from making assumptions Yes No I am happy for you to discuss my report with other partner agencies * To help us deal effectively with ASB we work closely with other partner agencies such as the police, local authority and Youth Offending Teams etc. Yes No Please be aware that where we have a duty to pass information to a statutory agency such as the police or Social Services, such as where a child is at risk, we will be speaking directly to the relevant agency giving full details of the situation. * Please tick to confirm you have read and understood this I confirm the details I have completed in this form are accurate and true to the best of my knowledge and belief * Please tick box to confirm Communicating with you We would like to keep in touch with you by email in the future. We will look after your personal data as set out in our privacy statement. I am happy for the Hyde Group to contact me by email. Yes No Would you like to receive information in an accessible format (eg braille, audio)? Yes No Which accessible format would you prefer? Braille Large print Easy Read Audio CD Language translation Sign language/interpreter Text relay Other Which language? Please specify
