Community Trigger

Referral Form

This form is for a Community Trigger referral only.

Please make sure you have read the information page before you fill out this form so that you understand the thresholds needed for a Community Trigger referral. If you think you meet the thresholds and want to proceed, please complete this form as fully as possible.

Referrer's Contact Details

We will need to contact you so please provide all of the requested details below.

If you are completing this form on behalf of a friend or a client of your service, please provide both your details and those of the person affected by the anti-social behaviour as we will need to contact the victim to confirm their consent to this application.

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Please enter your full postcode with space and then select the address from the list that appears.

Please enter your postcode and address in the boxes below.

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Please wait while we find your address...
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(This is our preferred way for corresponding):
 
 
 
(please say which organisation you are representing)
Victim's Details
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Please enter your full postcode with space and then select the address from the list that appears.

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Please wait while we find your address...
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(This is our preferred way for corresponding):
 
 
 
(please provide us with your landlord’s name or the name of the contact:)

Please provide us with details of the incidents that you have reported.

Incident 1
 
 
 
 
 
 
Incident 2
 
 
 
 
 
 
Incident 3
 
 
 
 
 
 
Equalities monitoring (Optional Questions)
 
 
 
 
 
 
 
 
Declaration

(Please tick boxes if you agree with the statements)

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Thank you for completing this Community Trigger referral form.

If you have completed this form on behalf of someone else, please ensure that you provide us with their original written consent, quoting the reference number that you will be given when you submit this form.

If you have any queries regarding this form or the process you can either email communitytrigger@wiltshire.gov.uk or write to:

Community Trigger referral
Public Protection Team, Community Safety
County Hall
Bythesea Road
Trowbridge
Wiltshire
BA14 8JN

Many thanks

We are sorry but you are not able to continue with this application.

Please obtain written permission before you submit this form as you cannot apply for a Community Trigger on behalf of someone else without first obtaining written permission. This is because we will need to contact them and share their information.

Once you have obtained the victim's written permission please re-complete the form and send the consent to the Community Trigger Referral Team quoting the reference number generated either on the screen or the email confirmation sent to you after you have submitted the form. If you fear for your own or someone else’s safety, please call the Police on 999.

Many thanks.