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Welcome to
West Somerset Council

Report Anti-Social Behaviour

Fields marked with * must be completed
IN THE CASE OF AN EMERGENCY DIAL 999
What type of incident are you reporting? *:	please select... Arson - Dwelling Arson - Car Arson - Other Flytipping Graffiti - Dwelling Graffiti - Public Property Graffiti - Other Noise - Music Noise - Other Nuisance - Other Aggressive Begging Begging Criminal Damage - Car Criminal Damage - Dwelling Criminal Damage - Other Drug Dealing Homophobic Incident Joyriding Kerb Crawling Prostitution Racial Abuse - Verbal Racial Abuse - Other Racing Cars Racist Incident Substance Abuse - Drugs Substance Abuse - Other Under Age Drinking Under Age Smoking Vehicle Crime - Theft of motor vehicle Vehicle Crime - Theft from motor vehicle Other
If Other, please specify:
On which date did the incident take place (if known)?:	Date and timeNow
What time did the incident start (if known)?:
Where did the incident happen? * (max 600 characters):
Did the incident happen - please select *:	inside outside Not applicable
Who was involved (if known)? (max 400 characters):
Were there any witnesses? *:	Yes No
If yes, what are their names and addresses? (max 800 characters):
Has the incident been reported to other organisations? *:	Yes No
If yes, who else have you reported the incident to?:	please select... Ambulance Connexions Fire Service Local Housing RSLs Rural Youth Project Social Services Youth Offending Other
Is there further information about this incident you want to report? (max 800 characters):
Your Details (optional)
Name:
Address:
Email address:
Security Code *:

Your form will be received by our Customer Services Team who will deal with your enquiry or forward to the relevant department for action.