Reporting anti-social behaviour


Property type


Property type

Incident details

Was this incident witnessed by you or someone else?

Was it reported to the police?


Declaration Statement

I understand that Westfield Housing Association will process and retain the information provided on this form in accordance with the General Data Protection Regulations.

For further information on how we use your information please view our privacy notice or write to Data Protection, Westfield Housing Association, Minto Centre, Nilsson Drive, Westfield, Workington, Cumbria, CA14 5BD (

I/we authorise Westfield Housing Association to obtain information and/or evidence from any third party, including:

  • All other Social Landlords
  • Local Authority (housing benefit, Universal Credit and council tax queries)
  • Utility Companies
  • Social Services
  • Police
  • Next of Kin as listed above and/or Support Worker
  • Other tenants/relevant members of the public that may help us with your case

I/we also authorise Westfield Housing Association to provide information to third parties that may reasonably request information relating to my/our tenancy.

The information I have given on this report is accurate to the best of my knowledge and I agree to let Westfield Housing know of any changes to my circumstances.

Please note under the Housing Act 1999 Part 6, it is a criminal offence to knowingly give false information or withhold information in respect of any matter relating to this report.

Signed (by both tenants if applicable)

Your home