strong foundations, stronger communities...

Reporting harassment

Please use the form below to make a harassment complaint

Your name:
Your address:	Enter your address here
Your telephone number:
Your email address:
	Details of harassment complaint
Where did the harassment occur?	Enter the location here
What is the nature of the problem?	Enter the nature of the problem here
At what time of day do the incidents occur?
Who is the complaint about? Please give name and address if known:	Enter details here
How often do they occur?
How many people are involved?
Has the incident been reported to the local police?
If yes, please enter the incident number:
	This information will be passed to the Housing Officer for your area.
Would you like them to contact you within the next 5 working days?
please type the security code as shown:

Dales Housing Limited. Registered Office - Dimple Mill, Dimple Road, Matlock, Derbyshire, DE4 3JX
Company Registered in England, Number 4201820. VAT Registration Number 917 941 988. Registered with the Housing Corporation No. L4332