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Anti-Social Behaviour Incident Reporting
Online Incident Reporting Form – Antisocial Behaviour

Online Incident Reporting Form – Antisocial Behaviour

Required fields are marked with an asterisk (*).

Part 1 – Contact Details

Name of Person Reporting *

Phone Number *

Part 2 – Incident Details

Date and Time *

Day Month Year Hour Minute

Location (address / business name / description) *

Persons Involved *

Youth
Adults

Number of persons Involved *

Nature of Incident *

Aggressive Behaviour
Illegal Camping
Drinking in dry-zone
Other

Notification Made

SAPOL
MAPs
Council
Other

Brief Incident Description *

Outcome

Any Other Comments

Confirmation

I hereby confirm that the information provided is accurate to the best of my knowledge at the time of reporting. I agree to be contacted on the telephone number provided, should Council require any clarification on the incident details provided in this report. Any personal information submitted to the Port Augusta City Council will be dealt with in accordance with Council’s Privacy Policy 2.7.03, the Freedom of Information Act 1991 and the Local Government Act 1999. Personal information may be disclosed by Council to other Government agencies,where it is deemed appropriate that the agency be notified of any reported incidents’ of anti-social behaviour. *

I agree

Port Augusta City Council is located at the head of Spencer Gulf in South Australia and includes Stirling North and the seaside homes located at Commissariat Point, Blanche Harbor and Miranda and has a population of almost 14,000 people. Council acknowledges and respects the traditional owners, their ancestors and the sharing of lands on which Port Augusta is located. More

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