Anti-Social Behaviour or Hate Crime In Progress

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Verification

Please tell us the location that is closest to the issue you are trying to report. Please do not include apostrophes.
If you are unable to locate the street, please search with a partial street name.

The Location Is

Near to a street Near to an address

Street

Postcode (If known)

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Ward:

Parish:

Neighbourhood Area:

Please describe the exact location
Tip: You can use short-hand such as OS (outside), RO (Rear of), OP (Opposite) etc.

Can you identify a nearby landmark? (e.g. a shop)

In order to enable us to respond to your enquiry without having to contact you for more information, please be as specific as possible with the information that you supply:

Include if appropriate and possible:

a description eg age, ethnicity, clothing etc.
dates
names

When did the incident take place?

Date

Time (HH:MM)

Anti-social behaviour and hate crime incidents can sometimes occur together. Hate crime incidents are targeted at a person because of hostility, or prejudice towards a persons disability, race or ethnicity, religion or belief, sexual orientation or transgender identity. If you believe the incident you are reporting happened because of any of these personal characteristics, please select which one(s) below but if not please select None to continue.

Please indicate why you think you have been targeted or select None

None

Religion

Disability

Race

Sexual Orientation

Gender identity

What type of incident are you reporting?

Please give details of exactly what is happening or has happened and who was involved. *

If you feel that this incident is targeted at you, or it is affecting you or your family, it would assist us in dealing with this matter if you could provide some more information.
** If you choose not to provide additional information, or decline contact from an officer to discuss this matter, this may significantly limit our ability to investigate this incident, and/or help prevent future recurrances. **

Are you happy to do this?

Have you experienced this type of incident before?

Please tell us how many times?

Please provide a contact name

Would you like to be contacted by an officer?*

Please provide contact details. (eg. email, telephone number or address to visit)

Is this affecting you and/or your health?

Are there any of the following groups in the household?

Disabled

Under 16

Learning Disability

Elderly

Were there any witnesses to the incident?

Please provide details of witnesses

Age

Gender

Sexual Orientation

Martial Status

Gender Reassignment

Race

Other - Please state

Religion

Other - Please state

Disability

The Equality Act 2010 defines disability as: "a person has a disability if s/he has a physical or mental impairment which has substantial and long term adverse effect upon their ability to carry out normal day to day activities"

Do you consider yourself to have a disability?

If you do consider to have a disability please indicate which of the following options describes your disability?

Other - Please state

How many offenders were there?

Would you be able to identify the offender(s)?

Is the offender(s) known to you?

Name of the offender(s)

Address of offender(s)

Gender of offender(s)

Age of the offender(s)

Ethnicity of offender