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Action request

Use this form to report something that needs to be repaired, replaced or actioned in some way such as pot holes, tree trimming and street light replacements.  Please provide as much information as you can, as this will help us action your request quickly.

Please note: if your request is urgent or you need an immediate response, please call us.

Online action request
Please provide details of your request below.

*Indicates mandatory fields

1. What does your request relates to?
Please select what your request relates to from the drop down list below.

Note: if your request relates to problems with:

2. What action would you like to request?
Please indicate what you would like to see done to resolve this request.
Request for replacement
Report damage
Request additional
Request investigation
Request maintenance
Request removal
Report a problem
Other, please specify:
 

3. What is the location?
If the problem is located on or originates from private property, it may take longer to resolve as we will need to contact the property owner.
Street number:
Street name:
Suburb:
Address unknown?
If you do not know the specific address, tell us as much information as you can about where it is:

4. Additional information
Please provide any additional information that will help, eg describe what you would like done or why some action is needed.

5. Your contact details
If you would like to receive an email copy of this submission please include your email address below.
First name:
Last name:
Email address: 
Phone number: