Download Resource 3 - Data request form for CSA

Resource 3: Data request form for Crime Statistics Agency
This template has been prepared to assist you with submitting a request to the Crime
Statistics Agency for recorded crime data.
It is strongly recommended that you contact the CSA before submitting your request. They
can provide you with some assistance to complete this data request. To help explain the
boundaries of your target area and (where applicable) comparison area and buffer zone,
you are encouraged to include a map with the boundaries highlighted alongside this form.
Information requested can only be provided subject to the CSA confidentiality policy. Some
data may require aggregation where the numbers are too small. Data will be aggregated to
the lowest level possible under this policy.
PROJECT DETAILS
Project name:
Project reference #:
Organisation name:
Project start date:
Project end date:
Contact name:
Contact information:
Purpose of data request:
CD/17/70922
TIME PERIOD
Pre-implementation
period
Post-implementation
period
Start:
dd/mm/yyyy
End:
dd/mm/yyyy
Data aggregation:
☐
☐
☐
☐
Start:
Total
Quarterly
Monthly
Other—specify:
_________________________
dd/mm/yyyy
End:
dd/mm/yyyy
Data aggregation:
☐
☐
☐
☐
Total
Quarterly
Monthly
Other—specify:
_________________________
LOCATION SELECTION
Target area
Level of
aggregation
requested:
Choose all that
apply
Streets (incl.
suburb name/s):
☐
☐
☐
☐
Streets
Location type
Common place name
Other—specify:
_________________________
Note that some streets may extend beyond target area.
Information will be provided in aggregate form, not specific
residential addresses.
List all that apply
Location type (incl.
suburb name/s):
Residential:
☐ Dwelling— private
☐ Dwelling—non-private
☐ Grounds/surrounding land
Community:
☐ Education
☐ Health
☐ Religious
☐ Public transport
☐ Other transport
☐ Justice
☐ Open space
☐ Street/footpath
☐ Other
CD/17/70922
Other:
☐ Admin/professional
☐ Financial
☐ Retail
☐ Wholesale
☐ Warehousing/storage
☐ Manufacturing
☐ Agricultural
☐ Recreational
☐ Other location
Common place
name (incl. suburb
name):
Common names for locations of interest, such as park names
List all that apply
Comparison Level of
area
aggregation
requested:
Choose all that
apply
Streets (incl.
suburb name/s)
☐
☐
☐
☐
☐
☐
☐
Streets
Location type
Common place name
Suburb
Postcode
Local government area
Other—specify:
_________________________
Note that some streets may extend beyond target area.
Information will be provided in aggregate form, not specific
residential addresses.
List all that apply
Location type (incl.
suburb name/s)
Common place
name (incl. suburb
name)
List all that apply
Suburb/s:
List all that apply
Postcode/s:
List all that apply
Local government
area/s:
List all that apply
CD/17/70922
Residential:
☐ Dwelling— private
☐ Dwelling—non-private
☐ Grounds/surrounding land
Other:
☐ Admin/professional
☐ Financial
☐ Retail
☐ Wholesale
☐ Warehousing/storage
☐ Manufacturing
☐ Agricultural
☐ Recreational
☐ Other location
Community:
☐ Education
☐ Health
☐ Religious
☐ Public transport
☐ Other transport
☐ Justice
☐ Open space
☐ Street/footpath
☐ Other
Common names for locations of interest, such as park names
Buffer zone
Level of
aggregation
requested:
Choose all that
apply
Streets (incl.
suburb name/s)
☐
☐
☐
☐
Streets
Location type
Common place name
Other—specify:
_________________________
Note that some streets may extend beyond target area.
Information will be provided in aggregate form, not specific
residential addresses.
List all that apply
Location type (incl.
suburb name/s)
Location type (incl.
suburb name)
List all that apply
CD/17/70922
Residential:
☐ Dwelling— private
☐ Dwelling—non-private
☐ Grounds/surrounding land
Other:
☐ Admin/professional
☐ Financial
☐ Retail
☐ Wholesale
☐ Warehousing/storage
☐ Manufacturing
☐ Agricultural
☐ Recreational
☐ Other location
Community:
☐ Education
☐ Health
☐ Religious
☐ Public transport
☐ Other transport
☐ Justice
☐ Open space
☐ Street/footpath
☐ Other
Common names for locations of interest, such as park names
OFFENCE INFORMATION
Offence
categories
Crimes against the person
☐
Homicide and related offences
☐
Assault and related offences
☐
Sexual offences
☐
Abduction and related offences
☐
Robbery
☐
Blackmail and extortion
☐
Stalking, harassment and threatening behaviour
☐
Dangerous and negligent acts endangering people
☐
Total crimes against the person
Property and deception offences
☐
Arson
☐
Property damage
☐
Burglary/Break and enter
☐
Theft
☐
Deception
☐
Bribery
☐
Total property and deception offences
Drug offences
☐
Drug dealing and trafficking
☐
Cultivate or manufacture drugs
☐
Drug use and possession
☐
Other drug offences
☐
Total drug offences
Public order and security offences
☐
Weapons and explosives offences
☐
Disorderly and offensive conduct
☐
Public nuisance offences
☐
Public security offences
☐
Total public order and security offences
Other offences
☐
Regulatory driving offences
☐
Transport regulation offences
☐
Other government regulatory offences
☐
Miscellaneous offences
☐
Total other offences
Exclude
family
violence
☐
☐
Yes
No
Day or night
☐
☐
☐
Day (6am – 6pm)
Night (6pm – 6am)
Total day and night
Subject to the CSA confidentiality policy. Will only be provided where the numbers
are not too small.
CD/17/70922
CD/17/70922