Are you, or anyone else involved, at immediate risk of serious harm?

Call the Police on 999 before completing this form.

Please give Date & Time
Please give full details
Did anyone else see what happened?
Have you reported this to anyone else?
Do you have any relevant images or recordings?
One file only.
16 MB limit.
Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.

Your Preferences

Are you happy for us to contact the person you have reported and speak to them about this report?
Are you happy to be named if we speak to the person who you have reported?
Are you happy for us to contact other organisations about your report if relevant?

Your Details

Your Name
Your address - we won't take action without contacting you first
Are you a LiveWest resident?
What's the best way to contact you?