Anti-social Behaviour Online Referral Form

If the perpetrator of the anti social behaviour is unknown to you, or the identity of the person(s) causing the problem are not given to us we will find it difficult to investigate your complaint.

If you are reporting a criminal act, damage to a motor vehicle, theft of your possessions, fraud please ensure you contact your local Police Station first for assistance.

If you want to report drug dealing in the street, or any other public place please call your local Police Station, or Wales Crime Stoppers on
0800 555 111.

Name Home Phone Number Address Email Address Complaint Status Name of Perpetrator Address of Perpetrator Nature of ASB Detailed description of incident – What happened? Detailed description of incident – Where and when did it take place? Detailed description of incident – Who was involved? Any other witnesses to the incident? ( Name, address, phone number) Have you reported this or similar incidents to Tai Clwyd before? Have the Police been notified? If yes Crime incident number/Reference number If Police attended or were involved badge number of the officer concerned Have we issued you with incident diary sheets? Complaint reference number