Page 366 - Pages from 8. 2017 New 26-05-21 No Table- 3rd Half

Notification of Pre-Assessment Checklist

• All sections of this form must be completed.
• Use one form per family, per adult or per child
as necessary.
• THIS INFORMATION IS SENT IN
CONFIDENCE AND IS RESTRICTED. IT
MUST NOT BE PASSED ON TO A THIRD
PARTY WITHOUT THE EXPRESS
PERMISSION OF THE POLICE.
Subject's
details
OCU Ref.
17PAC315194 (ACN)
Forename(s): SIMON
Surname: CORDELL
ID Code: 3
Date and 26/01/1981
place of
birth:
Sex:
Male/Female
Home 109 Burncroft Avenue
Address: ENFIELD Middlesex EN37JQ
UNITED KINGDOM
Tel. No.
Current
Location:
29,
Circumstances (including immediate action
taken by and any views expressed) continue on
plain paper

THIS INFORMATION IS SENT IN
CONFIDENCE AND IS RESTRICTED. IT
MUST NOT BE PASSED ON TO A THIRD
PARTY WITHOUT THE EXPRESS
PERMISSION OF THE POLICE.

Incident 109 Burncroft Avenue
Location: ENFIELD Middlesex EN37JQ
Concerns: Psychological / Emotional
Police were called to the location by the subject
who stated that he was feeling suicidal due to
ongoing issues with his upstairs neighbours and
wanted to hang himself. Upon police arrival the
subject was very agitated and angry he stated that
his neighbours upstairs were banging on the floor