• The name of the person experiencing ASB
  • The address of the person experiencing ASB
  • Select date DD slash MM slash YYYY
    The DOB of the person experiencing ASB
  • The contact number of the person experiencing ASB
  • The email address of the person experiencing ASB
  • The type of property the person experiencing ASB lives in
  • Preferences of the person experiencing ASB. Please note, that by selecting ‘Letter’ this may delay the time it takes to process your ASB Case Review request
    Consent from the person experiencing ASB. The details you provide will not be passed to a third party without your consent. Please note that without your consent to share information, we are unable to process your request to activate a ASB Case Review.

  • Incidents

    In order to meet the ASB Case Review threshold you must have reported 3 incidents of ASB in the last 6 months. For this reason, we require these details in this form.

    We understand that you may have experienced more than 3 incidents of ASB, however, at this stage, we only need you to provide information for 3 incidents that you have reported. This will help us to assess whether or not the threshold is met.

    We understand that you may not have all of the specific details, if this is the case, you are able to use approximate dates and information.

    Where possible, please include incident or case reference numbers.

    Please Note: This form should not be used to report new incidents of anti-social behaviour
  • Select date DD slash MM slash YYYY
    If you cannot recall the exact date please use the approximate date
  • Please include an address and name where you can.
  • Select date DD slash MM slash YYYY
    If you cannot recall the exact date please use the approximate date
  • Please include an address and name where you can.
  • Select date DD slash MM slash YYYY
    If you cannot recall the exact date please use the approximate date
  • Please include an address and name where you can.
  • Impact on the person experiencing ASB.
  • Protected characteristics include: Gender Reassignment, Marriage/Civil Partnership, Pregnancy/Maternity, Age, Religion/Belief, Race, Sexual Orientation, Gender or Disability
  • Please note that the term ‘harm’ can mean harm to your physical or mental wellbeing
  • Reasonable adjustments relate to specific requirements you may have to enable you to better access, engage with and understand this process

  • If you are raising this request on behalf of someone, please provide your contact details.

    Please Note: If you are raising the request on behalf of someone else, we may still need to obtain consent from the named person before progressing this request.
  • This field is for validation purposes and should be left unchanged.