* denotes mandatory fields
Details of your Request/Concern
Category *
-select-
Order bins for my new house
Request changes to my current bin service
Bins - damaged garbage
Bins - damaged organic
Bins - damaged recycle
Bins - missed garbage
Bins - missed organic
Bins - missed recycle
Bins - stolen garbage
Bins - stolen organic
Bins - stolen recycle
Drains - blocked storm water drains/pits
Graffiti - on Council property
Graffiti - on private property
Local Laws - overgrown trees/plants
Local Laws - unregistered car on a road
Local Laws - unsightly premise
Parking - issue in an industrial area
Parking - issue in a residential area
Parking - issue in a shopping centre
Roads - potholes or edge breaks
Rubbish - in a park
Rubbish - seeing someone dump rubbish
Rubbish - on a road or nature strip
Rubbish - dumped shopping trolley
Signs - missing street/traffic signs
Trees - fallen branches off Council tree
Trees - fallen Council tree
Other - Report an Issue not Listed
Order bins for 5 or more/medical condition
Please describe your issue
Attachments:
Attachment:
The following types of files can be added as an attachment: .png, .gif, .jpeg, .doc, .docx, .xlsx, .pptx, .txt, .xml, .pdf
Address of Issue
Flat/Unit Number:
Street Number:
Street Name:
Street Type:
Suburb/Town:
Postcode:
Additional Address Information:
Personal Details
Title:
-select-
Mr
Miss
Mrs
Ms
Dr
Given Name:
Surname:
E-mail:
Company:
* At least one phone contact number is required
Phone Number:
Work Phone Number:
Mobile:
Notify me of progress/outcome of this request
Same as address above
Flat/Unit Number:
Street Number:
Street Name:
Street Type:
Suburb/Town:
Postcode:
Additional Address Information:
Security Code:
enter code
You must fill in all required fields correctly before proceeding
×
Request Created
Your request has been added successfully with the Request ID of:
Click
OK
to go to the previous web page
Click
More
to return to the previous form to create another Request
×
Request Creation Failed
Add Attachment
Choose File...
No File Selected
Attachment Description:
Limit: 10 MB
Request Created
Request Creation Failed