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Issues with my neighbours form

How can we help?

Type of issue(Required)
Open calendar
Have you reported this issue before?(Required)

Tell us about the issue

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Have you spoken to the alleged perpetrator?

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Do you know the name or address of the people allegedly involved?

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Do you want to remain anonymous to the people allegedly involved?
Were there any witnesses to this incident?

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Your details

How do you want us to contact you?(Required)
Do you have any health/mental health conditions that are being severely affected by the ASB?
Does the ASB put you at risk within your home?
Do you feel that this incident is associated with your faith, nationality, ethnicity, sexuality, gender or disability?

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