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Community Contact Records |
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COMMUNITY CONTACT RECORD (CCR)Dear Resident/Business Owner, As part of our ongoing work to improve the local area, we are seeking feedback regarding any concerns, issues, or anti-social behaviour affecting your community. Your responses will help us identify priorities and take appropriate action where possible. Your DetailsName: _______________________________________ Address/Business Name: _________________________ Contact Number (optional): _____________________ Email Address (optional): ______________________ Community Concerns1. Are there any issues in your area that you would like us to be aware of? YES/NO2. How often does this issue occur?☐ Daily ☐ Weekly ☐ Monthly ☐ Occasionally ☐ Other: ______________________ 3. Where is the issue occurring?4. Please provide any additional information that may assist us. TIMES/NAMES ETCEquality, Diversity and Inclusion InformationStaffordshire Police is committed to understanding and engaging with all members of our communities. Would you be supportive of Staffordshire Police collecting diversity data to better understand and serve our communities?☐ Yes ☐ No ☐ Prefer not to say Ethnicity (optional)☐ White British ☐ White Irish ☐ Any Other White Background ☐ Mixed / Multiple Ethnic Groups ☐ Asian / Asian British ☐ Black / Black British ☐ Arab ☐ Any Other Ethnic Group ☐ Prefer not to say Further Contact☐ I am happy to provide further information if required. Thank you for taking the time to complete this form. Your feedback is important and helps us work with the community to address local concerns and improve neighbourhood safety. Neighbourhood Policing Team Return via: Reply Message / Hand to myself as appropriate. Once issues are inputted on our systems the information will be destroyed I will also be visiting address's on foot over the coming weeks to speak to people who are not on Smartalert If you know of anyone who would like to sign up to alerts please provide their name, email, phone number and address and I will also add them to the system
Ingrid Smith PCSO 8978
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