Report domestic abuse concern

You can use the form below to report concerns about domestic abuse.

DO NOT use this form if

  • there is a danger to life
  • violence is used or threatened
  • a serious crime (violent crime/burglary) is in progress or likely to occur
  • a suspect for a serious crime is nearby
  • a vulnerable person needs urgent attention

If an emergency incident is happening now, please call 999.

When to use this this form

Use this form if you are concerned that somebody may be a victim of domestic abuse.

Your information is very important and will be assessed by trained staff. We will treat your information with sensitivity however in certain circumstances we may be unable to guarantee your anonymity.

Report your concern about Domestic Abuse

Please fill in as much detail as possible to assist.

* required indicates required field

    Your contact details

  • Person who you are concerned about

  • Children

  • If there are more children can you please include their details in the "explain your concerns" box below.
  • Your concerns