This is the anti-social behaviour report form for the Community Safety Unit Safe Gravesham. Please complete this form as fully as possible, the more information you supply, the easier it will be to deal with your problem. All information is treated in the strictest confidence. However we do share information with our multi-agency partners to provide a complete solution to your problem.
Date of the incident: If overnight write both dates e.g. 9/10th March 2009.
Time of incident: AM PM
Where did it happen? Please state address or location where the anti-social behaviour took place.
Who was involved? Please state the name(s) of the person(s) committing the anti-social behaviour (if known).
What happened? Please state exactly what you saw and heard.
Any witnesses? Please state their names and addresses (if known).
If you have reported this to the police or any other agencies please give details of who you have reported it too? (e.g. Police + crime number)
How has it affected you? Please state how it has made you and your family feel and note any effects (example: lack of sleep). If you are using a screen reader in form-filling (edit) mode please ignore following text box and exit to normal mode to read the instructions on optional personal details which follows this paragraph. Thank you.
You have the option of remaining anonymous. Please note that if you choose to do this the Gravesham CSU have no means of contacting you and the investigation may be affected by lack of evidence supplied by you (the reporter). You can remain anonymous but still leave a contact number such as a mobile phone so we can contact you to ask any further questions or update you where necessary.
Your name:
Your address:
Telephone number:
E-mail address:
If you wish to be contacted, state you preferred method: by phone by e-mail
If by phone, what is the best time to call? morning afternoon evening
Click the button to submit your anti-social behaviour report. We will deal with it as soon as possible.
