Domestic Abuse Form

This form is to report an incident of Domestic Abuse that has occurred within Scotland.

In an emergency always dial 999.

This form can be used if you have been a victim of domestic abuse, if you have witnessed an incident of domestic abuse or if you are reporting domestic abuse on behalf of someone else (known as a third party report).

Please complete this form with as much detail as you can.

Please note Domestic Abuse Online Reports will be processed from 8am to 4pm, Monday to Friday. If submitted out-with these hours, there may be a delay in Police Scotland progressing your report. If you require a more urgent Police response, please contact Police Scotland on 101. In an emergency always dial 999.

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Remote Reporting Site Domestic Abuse Form

Your Details

Your details will be held in confidence. You do not need to provide your details; however, it may assist the police, should you choose to do so.
Scottish Police will record this incident and the appropriate action will be taken.
Please complete the sections below.
If you are not the victim, please provide the victim’s details within the section titled Incident Details.
Gender Identity
(only applicable if you are the victim)
Have you ever identified as a transgender?

Details of the person responsible for the abuse (please provide all known details)

Gender Identity
Have they ever identified as Transgender

Additional Information on the person responsible for the abuse

Does the person responsible for the abuse have a vehicle.
Are they involved in any other crimes?

Incident Details

Time of Incident:
Include premises, street, town and postcode if known.
What type of abuse did the incident involve? (select any which are relevant)

Victims details (if this is not you)

Please provide as much detailed information as possible
If so, please provide details of the injuries, who received them and if any medical attention was required, where this was provided.
If so, please provide details (if known).

Please complete the relevant section.

Special Requirements

Are you willing for the police to contact you?
Would you prefer a plain clothed officer?
Would you prefer a male or female officer?
(Every effort will be made to fulfil these preferences, however cannot be guaranteed on all occasions).
Do you require an interpreter?

General Comments