TS UAS

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Age Restricted Products

1. The more information you include in this form, the faster we will be able to address your issue.

1. * What is the name of the shop/building?
2. * Please give details of the location/address
3. Does the seller have other premises eg shop, garage, lock-up or other that he might use to store the goods?

   1. Yes
   2. No
4. If yes, please give details

1. Which of the following age restricted products are being sold?
2. Alcohol
3. Cigarettes and Tobacco
4. Fireworks
5. Gas Lighter Refills
6. Knives and Blades
7. Lottery Tickets and Scratchcards
8. Solvents
9. Dvds and Computer Games
10. Other
11. If 'Other', please specify

1. Please give as much information as possible about when the selling activity occurs

1. Days of Week
2. Monday
3. Tuesday
4. Wednesday
5. Thursday
6. Friday
7. Saturday
8. Sunday

1. Date(s)
2. Time(s) - AM
3. Time(s) - PM

1. In your opinion, would you say that the selling activity followed a regular pattern?

   1. Yes
   2. No
2. If Yes, please give details

1. Please give as much information as possible about the sellers identity
2. Ethnic Origin (If known)
3. Sex Male Female Unknown
4. Which age group does the seller belong to (if known) 16-20 20-30 30-40 40-50 50-60 60-70 70+
5. Approximate Height
6. Build
7. Hair Colour (If applicable)
8. Hair Length (If applicable)
9. Facial Hair Yes No
10. Facial hair description
11. Glasses Yes No
12. Tattoos

    1. Yes
    2. No
13. If yes, please give as much information as possible
14. Any other distinguishing features?

1. Vehicle Details
2. What type of vehicle are you reporting? Car Van Pick Up Motorbike Other
3. If other, please specify
4. Make
5. Model
6. Colour
7. Registration

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