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Report domestic abuse

Use this form to report abusive behaviour between partners, ex-partners, family members or those who share parental responsibility for a child.

You can complete the form for yourself or on behalf of someone else.

You should always call 999 if you or someone else is in immediate danger.

This form takes about 15 minutes to complete. Make sure you allow yourself enough time to complete it. You will not be able to save your answers.

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To fill in this form

We will ask you for details about:

  • the person at harm, if this is not yourself
  • any children or vulnerable people at risk of harm
  • what happened
  • the person causing harm
Other ways to report domestic abuse