Community Trigger Form

Please complete this form as fully as possible. All information is treated in the strictest confidence, however, we may share information with our partner agencies where appropriate in order to provide a solution to your problem. Your case may be passed to an appropriate lead agency who will respond to you such as the police, your housing provider or environmental health team.

If you would prefer to contact us by telephone to discuss your situation or to check on the progress of your Community Trigger referral please contact the Resilience and Community Safety Officer on 01524 582385.

About your situation
  1. Which trigger threshold are you activating?

  2. Are you activating the trigger yourself or on behalf or someone else? *
  3. If yes, do you have permission to do so?

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