I would like to

Community and Living

Community and LivingCommunity Safety

Anti-social behaviour-report online

Name
Address
E-mail address
Home telephone number
Mobile number
Case reference number (if known)
Date of incident
Time incident started
time incident finished
Explain what happened and where
Were there any witnesses?

If yes, provide details of who
How has this affected you? (ie health, sleep patterns, stressed, frustrated)
Have the police been informed?

I would like to

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Stoke-on-Trent City Council, Civic Centre, Glebe Street, Stoke-on-Trent ST4 1HH, UK Telephone: +44 (0)1782 234234Email: enquiries@stoke.gov.uk