[Your Name]
[Your Address]
[City, Postcode]
[Phone Number]
[Email Address]
[Date]
To:
[Officer’s Name, if known]
[Police Department Name]
[Police Department Address]
Dear Officer [Name] / To Whom It May Concern,
I am writing to formally report incidents of physical abuse committed against me by [Abuser’s Full Name], [their date of birth if known].
During the course of our relationship [or: during the following dates: ____], I experienced repeated acts of physical violence by [abuser’s name], including but not limited to:
- [Briefly list specific incidents, e.g., being hit, pushed, choked, restrained, kicked, slapped]
- [If possible, list dates or approximate timeframes, even roughly: e.g., “May 2024 — pushed into wall after argument”]
- [If applicable: Include mention of injuries, hospital visits, or medical attention sought]
I have preserved [if true: photos of injuries, medical reports, witness statements] as evidence to support this report.
I wish to state clearly that I did not and do not consent to any of these acts.
I have experienced fear for my physical safety, emotional distress, and ongoing anxiety as a result of [abuser’s name]’s actions. I am concerned for my continued safety and well-being.
At this time, I am requesting that this matter be formally investigated, and I am willing to cooperate fully with any inquiry.
I respectfully request that steps be taken to ensure my protection during and after any investigation, including consideration of restraining orders if appropriate.
Thank you very much for taking this report seriously. I appreciate your time, protection, and assistance.
Yours faithfully,
[Your Full Name]
🌿 Helpful Tips:
- Be factual, but don’t feel pressure to “prove” everything yet — the investigation process helps gather evidence.
- If you don’t remember exact dates, that’s OK — “around [month/year]” is better than nothing.
- If you have photos of injuries, note that in the letter (but you don’t have to attach them immediately unless asked).
- Prioritize your safety: Send it via email, a lawyer, or a domestic violence advocate if that’s safer for you.
💬 Gentle Reminder:
Reporting physical abuse is an act of enormous bravery —
You are standing up for yourself. You are protecting your future. You are refusing to be silenced.
And you absolutely deserve to be heard, believed, and protected.
🌱🤍
— Linda C J Turner
Trauma Therapist | Neuroscience & Emotional Intelligence Practitioner | Advocate for Women’s Empowerment
