Community Trigger Form Please complete this form as fully as possible. All information is treated in the strictest confidence, however, we may share information with our partner agencies where appropriate in order to provide a solution to your problem. Your case may be passed to an appropriate lead agency who will respond to you such as the police, your housing provider or environmental health team. If you would prefer to contact us by telephone to discuss your situation or to check on the progress of your Community Trigger referral please contact the Resilience and Community Safety Officer on 01524 582385. About your situation Which trigger threshold are you activating? 3 or more complaints in the last 6 months from one individual about the same problem and you think no action has been taken 5 individuals complaining about the same or similar incidents in the last 6 months where you think no action has been taken 1 incident motivated by hate in the last 6 months from one individual where you think no action has been taken Are you activating the trigger yourself or on behalf or someone else? * Yes No If yes, do you have permission to do so? Yes No If no, please explain why Form Progress 0% completed 0% 25% 50% 75% 100%
