Are you, or anyone else involved, at immediate risk of serious harm? Yes No Call the Police on 999 before completing this form. Where did the incident happen? What type of behaviour are you reporting? - Select -NoiseHate crimeDomestic abuseIntimidation/harassment/threatsDrug or alcohol problemsGrafitti or damageVehicle nuisance When did the incident happen? Please give Date & Time Who was involved in the incident? What happened? Please give full details Did anyone else see what happened? Yes No Who saw what happened? Have you reported this to anyone else? Yes No Who else have you reported this incident to? Do you have any relevant images or recordings? Yes No If yes, please upload them here Upload No file chosen One file only.16 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Your Preferences Are you happy for us to contact the person you have reported and speak to them about this report? Yes No Are you happy to be named if we speak to the person who you have reported? Yes No Are you happy for us to contact other organisations about your report if relevant? Yes No Your Details Your Name First Name Last Name Your address - we won't take action without contacting you first Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Are you a LiveWest resident? Yes No What's the best way to contact you? Phone Email Post Your Email Your Phone Number Submit Leave this field blank