Elected Member Request

* Mandatory Field

Please provide details of your request or enquiry below
Details of Issue or Request
Location (ie. Street Address or nearby landmark)
High Risk (risk to public health and/or safety or risk to Council infrastructure)
If this request is on behalf of a ratepayer, would you like us to update the ratepayer directly?
If YES, please provide contact details
From:*
If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.

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