If you would like to report any instance of hate crime, please fill out the form below and click ‘Submit form’. A member of the Safer Neighbourhoods Team will be in touch with you within one working day for serious incidents. If you need to report the instance as an emergency and it is outside of our opening hours, please contact the Police on 999 or our First Response team on 0800 218 2000. If you experience any problems completing this form, please contact a member of the Safer Neighbourhoods Team on 0161 779 8031 or email safer.neighbourhoods@salixhomes.org.
Title: Mr Mrs Ms Miss Other
First name:
Surname:
House / Flat Number:
Road / Street:
Town:
Post Code:
Day Time Telephone Number: (Optional)
Evening Telephone Number:
Mobile Number: (It is important that we can contact you direct)
Email Address:
Time:
Date:
Location:
What happened?
Who was involved?
Any witnesses? YesNo
Witness name:
Witness address:
Witness telephone number:
YesNo
Log Number:
Police Name:
Collar Number:
If No:
Why was this not reported?
Have you reported this to any other agency? YesNo