Customer Request Management Entry

Instructions

Please enter the details of your request and select Submit. A member of staff will be in contact with you regarding your request.

Request for Maintenance of Council Facility

Request for Maintenance of Council Facility   

Customer Details (Required)

Customer Details (Required)

Name

Name
'

Contact Details

Contact Details
Residential address

Residential address

Postal address if different from residential

Postal address if different from residential

Select the customers preferred method for followup contact

Other Contacts Add

Council Facility

If the facility is not listed above please enter the location

Search for the property the call is in relation to.

enlarge drop pin

Please provide details of the issue (Required)

Enter a description of events/problem.

Do you have a photo?

Upload an attachment to link to this request.

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