Please select

your Housing Office:   HolbeachHome ParkHonor OakPepys

Title  

First name*  

Last name*  

Your Address*  

Daytime telephone*  

Mobile telephone  

Evening telephone  

Email  

Who are you making the allegation about?

First name  

Last name  

Address  

Give the details of additional people involved

The following people are involved  

Don’t know  

If you don’t know them, give a description.

For example a boy about 15 wearing a blue denim jacket. He was tall with red hair

Description  

Do we have your permission to contact the people you are making the allegation about?   Yes
No

If you do not wish us to contact the perpetrator we will be unable to take action against the

perpetrator or resolve your complaint. However we respect your reasons for not

wishing Lewisham Homes officers to take this action.

Details of the issue you are reporting  

Where was it happening?  

Date of first incident?  

Select the type of nuisance below:    Danger to your household and/or persons within it
 Domestic violence
 Threats of or actual violence against a person
 Drug dealing or any other illegal activity
 Intimidation or harassment on the grounds of race, disability, sexual orientation, religious belief or vulnerability
 Property damaged
 Non threatening verbal abuse
 Noise nuisance for example: loud parties, shouting, noise from TVs, radios, Hi-fis, burglar alarms and dogs barking
 Children loitering
 Local environmental issues. For example, litter, dog fouling, uncontrolled dogs, graffiti, vandalism, fly tipping, abandoned and untaxed vehicles, vehicle repairs inconsiderate parking, unkempt gardens, riding, cycling and skateboarding on communal areas

Other, please specify  

Additional information  

Have you contacted anyone in Lewisham Homes about your allegation previously?   Yes
No

If yes, what was the name and job title (if known) of the person?  

On what date did you contact the person?  

What response did you receive?  

We will contact you shortly to discuss the issue further.

Please enter verification code as shown  
Do not enter anything in this field