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Report ASB
 

ASB case review referral form

You can use this form if, over the last 6 months:

  • You have reported ASB on 3 separate occasions
  • You have reported ASB which is affecting 5 or more people (not all from the same household)
  • You have reported a hate motivated incident
  • You have reported 1 or more incidents of domestic abuse

All information you provide will be handled fairly and confidentially. We may, however, share any relevant information with our partner agencies, including the police, Social Services or the Citizens Advice Bureau, to help find the best possible solution. 

If you would rather report an incident over the phone, discuss your situation or check on the progress of your ASB case review, please get in touch with our customer services advisors.

Once you have completed the form, please click the submit button on the bottom of this page.

ASB case review referral form

» Indicates required fields

ASB case review
ABOUT YOUR SITUATION
Do you think the problem could be described as one or more of these?  »
Can you confirm that (as far as you know) no action has been taken?
Do you think this is because of:
YOUR CONTACT DETAILS
Please provide your details so that we can contact you.  If you are completing this form on behalf of a friend or a client of your service, please provide details of the person affected by this situation.  We will use this to ask any further questions or provide feedback on your referral as necessary.
Which of these best describes you?
EQUALITIES MONITORING (optional questions)
Gender
Sexual orientation
KEEPING YOU INFORMED
We will keep you informed about progress.  Our promise is to acknowledge receipt of your referral immediately.  An initial assessment of your situation will be carried out within three working days and you will be contacted.  If your referral meets the criteria an officer from Sovereign (in discussion with you) will review your situation and agree appropriate next steps.
Do you wish to be informed about the progress of your referral?
CONSENT TO SHARE INFORMATION
I understand that you may share relevant information to agencies involved in supporting victims to maximise my safety and that of my family. »