incident diary

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Incident Diary Tackling Anti-Social Behaviour For you to fill in (please print) Your full name ........................................................................................................... Your address ............................................................................................................. ................................................................................................................................. Telephone number..................................................................................................... Email Address ........................................................................................................... For the Area Team to fill in First complaint (date) ............ / ............ / ............ Diary issued (date) ............ / ............ / ............ Diary number ............ / ............ / ............ Review date ............ / ............ / ............ ............ / ............ / ............ SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 1

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Page 1: Incident Diary

Incident Diary

Tackling Anti-Social Behaviour

For you to fill in (please print)

Your full name ...........................................................................................................

Your address .............................................................................................................

.................................................................................................................................

Telephone number.....................................................................................................

Email Address ...........................................................................................................

For the Area Team to fill in

First complaint (date) ............ / ............ / ............

Diary issued (date) ............ / ............ / ............

Diary number ............ / ............ / ............

Review date ............ / ............ / ............

............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 1

Page 2: Incident Diary

Many neighbour disputes can be sorted out by talking calmly with the other

person. But Stockport Homes will take action quickly if this approach fails or if

someone’s behaviour fails to improve. We can only act against perpertrators if

we have evidence. You can help by keeping a diary of everything that

happens. Make sure you keep to these four simple rules.

How to keep the diaryWe can solve most disputes without taking serious action. But if the situation

is bad enough, we will use the law to force the perpertrators to stop. To take

legal action we need a carefully written-down description of every incident.

1. This diary is your own personal record of what you see or hear. You can’t

write down something that other people (including your wife, husband or

partner) have witnessed. They must get their own diary – or you can give

them one of the tear off sheets at the back of this diary (called Witness

Reports).

2 You must fill in the diary as soon as possible while the incident is still fresh

in your mind. Do it on the same day if you can. If you leave it much longer

you may not remember all the details.

3 Fill in one form for each separate incident. If there is a second incident on

the same day or night, start a new form. Put your signature and the date

at the bottom of each form.

Action Plan

Tackling Anti-Social Behaviour

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 2

Page 3: Incident Diary

4. Write down everything you see and hear in as much detail as possible. A

general summary isn’t taken as seriously by the Court as word-for-word

evidence. So try to include any swear words you hear. You’ll see in the

example sheet (which shows you how to fill in the diary) that we have

written swear words down in full. This is much more effective than “he

used abusive language”. We’re sorry if this is upsetting, but it is the most

effective way of presenting the seriousness of the incident to the court.

Other evidenceIt’s a good idea to collect other evidence to back up the diary. Photographs

can help in some cases. Put the time and date the photo was taken on the

back and sign it. You could mail a tape recording of very loud music or

shouting. Speak to your Neighbourhood Housing Officer if you need help.

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 3

Page 4: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

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This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

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When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 4

Page 5: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

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continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

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How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

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Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 5

Page 6: Incident Diary

Incident Diary

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Continued

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Page 7: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 7

Page 8: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

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When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 8

Page 9: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

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How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

...................................................................................................................................

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Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 9

Page 10: Incident Diary

Incident Diary

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Continued

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 10

Page 11: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 11

Page 12: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

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When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 12

Page 13: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

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How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

...................................................................................................................................

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Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 13

Page 14: Incident Diary

Incident Diary

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Continued

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 14

Page 15: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 15

Page 16: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 16

Page 17: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

...................................................................................................................................

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How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 17

Page 18: Incident Diary

Incident Diary

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Continued

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 18

Page 19: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 19

Page 20: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 20

Page 21: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 21

Page 22: Incident Diary

Incident Diary

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Continued

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 22

Page 23: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 23

Page 24: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 24

Page 25: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 25

Page 26: Incident Diary

Incident Diary

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Continued

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 26

Page 27: Incident Diary

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 27

Page 28: Incident Diary

Incident Diary Please fill in as accurately as possible

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t knowthen write “don’t know”

...................................................................................................................................

...................................................................................................................................

This form is for information about one incident only. If there is a second incident on thesame day or night, start a new form.

Any witnesses?Did anyone else see or hear the incident? Put their name(s) and address(es).

Have they filled in their own diary sheet / witness report? Yes � No �

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

...................................................................................................................................

When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 28

Page 29: Incident Diary

Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard otherthings they must fill in their own diary or use a tear off Witness Report sheet fromthe back of this diary. Put all words in full, including swear words.

...................................................................................................................................

...................................................................................................................................

continue on the other side of the form if you need to

Have you reported it?Have you told organisations like the police, the Area Housing Office, SocialServices? If so write down who you spoke to and where and when you made thereport. (If you have reported it to the police, put the officer’s number and crime number if thereis one).

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How has it affected you?Write down the way the incident has made you feel. Include its affect on peoplewho live with you. For instance has it stopped you sleeping, frightened your childrenand so on. Are you more affected because of age or ill health?

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Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Incident Diary

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Continued

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Page 32: Incident Diary

Witness ReportFill in this form if you have seen or heard someone being anti-social. The form is for

information about one incident only. If you witness another incident, start a new form.

Name and Address of Witness

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When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t know

them write “don’t know”

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Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard other

things they must fill in their own diary or use a tear off Witness Report sheet from

the back of this diary. Put all words in full, including swear words.

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continue on the other side of the form if you need to

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Witness ReportContinued

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

SH ASBO Incident Diary A5:Layout 1 12/6/11 1:06 PM Page 35

Page 36: Incident Diary

Witness ReportFill in this form if you have seen or heard someone being anti-social. The form is for

information about one incident only. If you witness another incident, start a new form.

Name and Address of Witness

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When did the incident happen?

Date (if overnight, write both dates, for example, 12/13 March 2002)

Day ............................. Month ........................... Year ..................

Time (cross out AM or PM)

Start am / pm ............. Finish am / pm..............

Where did it happen?

Put the address where the incident happened – not your own address,unless it’s the same.

House / flat number:........................ Road: ........................................................

Outside / inside: ..............................

Who did it, or who was involved?Put the name and address of the person or people responsible. If you don’t know

them write “don’t know”

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Tackling Anti-Social Behaviour

What happened?Write down exactly what you saw and heard. If someone else saw or heard other

things they must fill in their own diary or use a tear off Witness Report sheet from

the back of this diary. Put all words in full, including swear words.

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continue on the other side of the form if you need to

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Witness ReportContinued

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Tackling Anti-Social Behaviour

Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Page 40: Incident Diary

Additional InformationUse this side of the form to put down any additional information not on other sheets.

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Additional InformationUse this side of the form to put down any additional information not on other sheets.

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Your Signature “I believe that the information I have given above is a truedescription of what I saw and / or heard”

Signed ......................................................................................................................

Date ............ / ............ / ............

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Page 44: Incident Diary

Useful Phone Numbers

Repairs 0161 217 6016

Customer Finance Automated Payment Line 0161 474 4050

West Area Housing Office 0161 474 4371

East Area Housing Office 0161 474 4372

Customer Feedback 0161 474 2600

24hr Anti-Social Behaviour 0161 474 3840

Ref: 795/March 2011

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