Customer Request Management Entry

Instructions

Any personal information provided, is required for the purpose of processing your request and will be protected in accordance with the provisions of the Privacy and Data Protection Act 2014 and Council’s Information Privacy Policy. You have a right to access any personal information collected by Council. The information will not be disclosed to anyone outside of Council and will be kept secure and destroyed in accordance with the Public Records Act. If you choose not to provide the information that is sought, we may be unable to process your request or to update you on the outcome.
Report pothole   

Description of Issue (Required)

Enter a description of events/problem.

Customer Details (person who reported the issue) (Required)

Customer Details (person who reported the issue) (Required)

Name

Name

Contact Details

Contact Details
Residential address

Residential address

Postal address if different from residential

Postal address if different from residential

Contact By

Other Contacts Add

Property Address

Upload Attachments

Browse for an attachment to link to this call.

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