Lewisham Council - Community Safety Notification Form

Community safety notification form

You can use this form to report anti-social behaviour such as:

If you want us to reply to you, please make sure you give us your name and address, telephone number or email address. You will receive a reply within one week.

We will treat this form in confidence. If you are making allegations about any other person(s), they will not be notified without your consent.



Your name:


Your address:


Your postcode:


Your telephone number:


Your email address:


Summary of the anti-social action or crime (eg, vandalism, homophobic or racist violence) that you have witnessed or experienced. Please provide as many details as you can.

Place of the anti-social action or crime (if appropriate)


Date and time of the anti-social action or crime (if appropriate)


Persons involved in the anti-social action or crime (if appropriate)


Has this been reported to any other agency (eg, the police)? Which one and when?

Can we consult other agencies, if we need to?
Yes No

Would you like a reply?
Yes No



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