alcohol ban review consultation form

3
Alcohol Ban Review Evidence Form Review of existing alcohol bans Regulations introduced by the government last year, requires Auckland Council to review all existing alcohol bans by 31 October 2015. The review will decide which current alcohol bans meet new national criteria of only allowing bans where there was or still is a high level of alcohol related crime or disorder. Alcohol bans that do not meet these criteria will lapse on 31 October 2015. Your local board is undertaking targeted engagement on this issue and has identified your organisation as a key stakeholder to provide additional evidence of crime or disorder that may be occurring (or previously has occurred) in a current alcohol ban area. The information you provide will be used to assist the local board to make a decision on the future status of this current alcohol ban area. If you are able to help provide further evidence this must be received no later than Tuesday 14 April 2015. Your contact details For your views to be considered you must include your full name together with a postal and/or email address. Please print clearly. See privacy information below. First name: Surname: Organisation/Company: Contact phone: Postal address: Post code: Email address: Local board area: Please tick “yes” if you have attached any additional pages Yes No Your additional evidence can be sent to: Review of Alcohol Bans Attention: Planning Technician, Central Business Services Regional and Local Planning Freepost: Authority Number 182382 Private Bag 92300, Auckland 1142 or: You can scan and save your information as a pdf and email it to: [email protected]. If you have any questions please contact [email protected].

Upload: arch-hill-matters

Post on 23-Dec-2015

16 views

Category:

Documents


0 download

DESCRIPTION

Response form indicating evidence of alcohol abuse in public spaces

TRANSCRIPT

Page 1: Alcohol Ban Review Consultation Form

Alcohol Ban Review Evidence Form Review of existing alcohol bans Regulations introduced by the government last year, requires Auckland Council to review all existing alcohol bans by 31 October 2015. The review will decide which current alcohol bans meet new national criteria of only allowing bans where there was or still is a high level of alcohol related crime or disorder. Alcohol bans that do not meet these criteria will lapse on 31 October 2015. Your local board is undertaking targeted engagement on this issue and has identified your organisation as a key stakeholder to provide additional evidence of crime or disorder that may be occurring (or previously has occurred) in a current alcohol ban area. The information you provide will be used to assist the local board to make a decision on the future status of this current alcohol ban area. If you are able to help provide further evidence this must be received no later than Tuesday 14 April 2015. Your contact details For your views to be considered you must include your full name together with a postal and/or email address. Please print clearly. See privacy information below.

First name: Surname:

Organisation/Company: Contact phone:

Postal address:

Post code:

Email address: Local board area: Please tick “yes” if you have attached any additional pages Yes No

Your additional evidence can be sent to:

Review of Alcohol Bans Attention: Planning Technician, Central Business Services Regional and Local Planning Freepost: Authority Number 182382 Private Bag 92300, Auckland 1142

or:

You can scan and save your information as a pdf and email it to: [email protected]. If you have any questions please contact [email protected].

Page 2: Alcohol Ban Review Consultation Form

Please use this form to tell us about incidents of alcohol-related crime or disorder that you have witnessed in or around a current alcohol ban area. Please use additional forms if you would like to tell us about incidents happening in another current alcohol ban area.

1. Where did the incident specifically happen? (Please name the current alcohol ban area; for example Victoria Park, town centre)

2. Where (in the above location) did the incident happen? (for example: northern end of the park under the trees, in the car park, near the playground etc)

3. Please explain the type of crime or disorder witnessed.

For example this may include property damage, offensive behaviour, public disorder etc.

4. What makes you think that the incident described above was related to alcohol?

Please provide any evidence that you may have to support this.

5. Can you recall the approximate date/s this incident occurred and how often? (Month/year)

For example month/year or was this during a specific holiday (Christmas or Easter etc)

6. Approximately what time did the incident occur?

Day time (during the day) Night time (e.g. between 7pm – 7am) Can occur at any time (please state) Other (please state)

Page 3: Alcohol Ban Review Consultation Form

7. How often is this type of incident occurring in this location?

one-off daily weekly monthly yearly other (please specify)

8. Other than an alcohol ban what else could be done to prevent this type of incident from happening at this location?

(for example better lighting, locked gates etc)

The information provided in this form is a true and accurate reflection of the alcohol-related crime or disorder experienced by myself (or the organisation I am submitting this on behalf of).

Signature: Date:

Thank you for providing this additional evidence for the council to consider. Your checklist:

1. Have you included your full name and postal and/or email address?

2. Have you attached any additional pages or supporting documents?

3. Would you like to be updated on the outcome?

All personal information that you provide in your feedback will be held and protected by Auckland Council in accordance with our privacy policy (available at

www.aucklandcouncil.govt.nz/privacy and at our libraries and service centres) and with the Privacy Act 1993.

Our privacy policy explains how we may use and share your personal information in relation to any interaction you have with the council, and how you can access and correct that

information. We recommend you familiarise yourself with this policy.