Community Trigger

I am requesting a review of my anti-social behaviour case because I believe I have experienced harassment, alarm and distress and do not feel that matter has been satisfactorily resolved. I am making this application within six months of the last report of anti-social behaviour. I am the victim and I have reported the same problem three or more times in the past six months to the Council, Police or my Landlord.

If other please give us your title

Name of applicant *

Address (if rented accommodation, please state Landlord name and contact details) *

Telephone number *

Email address

If you are making this request on behalf of another person, please complete the section below. The person concerned must also provide their written consent to enable L.B. Redbridge to obtain information from departments and agencies, relevant to the incidents described below (N.B., if written consent is withheld, we will be unable to progress the application).

Name of person on whose behalf this application is made.

Their address (if rented accommodation, please state Landlord/contact details)

Their telephone number

Their email address

If other – please state relationship

Does this person know that you have made the request for an ASB review on their behalf?

Yes
No

In order for us to decide if you meet the threshold for an ASB review we need to have details of the incidents (there must be at least 3) that you have reported. Please complete the columns one to three:

Incident one:

Date of incident one

Description of ASB incident one

How did this cause you harassment alarm and distress?

Who did you report this to?

The date on which it was reported (this must be within 1 month of the incident)

Incident two:

Date of incident two

Description of ASB incident two

How did this cause you harassment, alarm and distress?

Who did you report this to?

The date on which it was reported (this must be within 1 month of the incident)

Incident three:

Date of incident three

Description of ASB incident three

How did this cause you harassment, alarm and distress?

Who did you report this to?

The date on which it was reported (this must be within 1 month of the incident)

We need to know what action has been taken by you and organisations you have contacted, and what you expect from this review. Please complete the relevant sections.

What action(s) have been taken by the organisation(s)?

What action(s) have you taken yourself?

What are you hoping to achieve from this review?

Have you an ongoing complaint that is being dealt with by the Police, Council or Housing provider, concerning these issues?

Yes
No

If ‘Yes’, please give the date of your complaint(s) and the name of the department or individual dealing with it.

Submit your community trigger form

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