ILLUSTRATIVE EXAMPLE – NOT LEGAL ADVICE.
Adapt to your force / legal services and the current Home Office statutory guidance before use. Source: Thinking About Policing.

COMMUNITY PROTECTION WARNING
Anti-social Behaviour, Crime and Policing Act 2014, section 43

To: [full name and address of recipient]
Date: [date]
Issued by: [name, role, authorising organisation – police / local authority / social landlord]

1. Why you have been given this warning
It has been reported and recorded that [describe the conduct clearly, with dates and locations]. This conduct is having a detrimental effect, of a persistent or continuing nature, on the quality of life of those in the locality, and is considered unreasonable.

2. What you must do
You must [stop doing X / take the following step(s): Y] by [time/date].

3. What happens if the behaviour continues
If, after a reasonable opportunity to deal with the matter, your conduct continues to have that effect, a Community Protection Notice may be issued to you. Failing to comply with a Community Protection Notice is a criminal offence, punishable by a fixed penalty of up to £100 or, on conviction, a fine of up to £2,500 for an individual (up to £20,000 for an organisation).

4. Review
This matter will be reviewed on or after [review date].

Signed: [name / collar number]
Contact: [details for questions or to report compliance]