Online antisocial behaviour complaint form

If you want to submit a complaint about antisocial behaviour in or around Department of Housing and Community Development properties, complete the form below.

Privacy statement

Department of Housing and Community Development respects your rights to your privacy. Information you provide is treated in accordance with the Information Privacy Principles of the Information Act (NT).

Required fields are marked with an asterisk (*).

Contact details

First name

Last name

Residential address

Postal address

Postcode

Home phone

Work phone

Mobile phone

Email address

If you enter an email address, you will receive a summary of your complaint and a submission ID number.

Do you wish to remain anonymous?

Please note Department of Housing and Community Development will not divulge your personal details to your neighbour, however it may be required to provide in accordance with the Information Privacy Principles.

Person or property the complaint relates to

Residential address of the property *

Nature of the complaint/incident *

What date and time did the incident occur? *

Day Month Year Hour Minute

What effect has the disruption had on you/your family?

Did anyone else witness this event?

If your answer above is yes, please provide details below.

Witness 1 name

Witness 1 address

Witness 1 phone number

Witness 2 name

Witness 2 address

Witness 2 phone number

Have you reported the behaviour to the police? *

If yes above, please provide details below.

Details of action taken by police

Declaration

I declare that to the best of my knowledge, the information provided is true and correct.*

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