Form

Report an instance of Domestic Abuse or Controlling Behaviour

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In an emergency, always dial 999. This includes:

When there is a threat to life (including road traffic collisions where persons are injured, the road is blocked or a vehicle involved in the collision has failed to stop)
Violence to a person or damage to property is imminent.
A serious offence is in progress.
A suspected offender is still at the scene of an incident or any delay in reporting the incident may prevent the offender being apprehended.
Serious disruption to the public is currently taking place, or is likely to take place.

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Your Details

Title

Forename *

Middle Name

Surname *

Date of Birth (DD/MM/YYYY)

Gender

Ethnicity

House Name or Number *

Street *

City *

Postcode *

Email Address *

Confirm Email Address *

Preferred Contact Number *

Alternative Contact Number

Preferred Method of Contact *

Are you the victim of the abuse/incident?

If you are reporting on behalf of a friend or relative select 'No'

Yes

Victim Details

Title

Forename

Surname

Date of Birth (DD/MM/YYYY)

Gender

Ethnicity

House Name or Number

Street

City

Postcode

Email Address

Preferred Contact Number

Alternative Contact Number

Offender Details

Title

Forename *

Surname *

DOB or Approximate Age

Gender

Ethnicity

What is your relationship to the offender? *

Further Details

Would you like to provide us with any other information?

If during this process we contact you via email, please be aware that whilst the email response will be sent from a South Yorkshire Police secure network, unless you have a secure email address the delivery to your personal inbox is an insecure connection via the public internet. SYP cannot accept responsibility for any loss or inappropriate access to the email response once it has left the SYP secure network. It is also the responsibility of the person reporting to ensure that the email address submitted is accurate. By submitting this form you confirm you have read the above.

Report an instance of Domestic Abuse or Controlling Behaviour

Are you concerned about someone seeing this page on your internet history? Find out how to clear your browsing history here.

Your Details

Victim Details

Abuse/Incident Details

Offender Details

Further Details