To report any problems in
Services please fill in this form.
Required fields are marked with an asterisk *. |
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| DESCRIPTION
:
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Please give a short description of the problem.
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* List of Services
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| *
Description of problem |
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| FURTHER
DETAILS : |
In order to help us deal with
your report quickly, please fill in as many details as possible.
Please give the time and date that you first noticed the problem. |
|
Time
|
for
example 13:30 |
| Date |
for
example DD/MM/YYYY |
| YOUR
DETAILS : |
| You do not need to give us your
name but it would be helpful to the Council to have a contact telephone number
or email address in case we need further information to follow up this report. |
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Your Name
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| Your Email
Address |
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| Your Phone
Number |
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Thank-you for taking the time to report this problem. If
you wish to be kept updated about progress on this matter, please tick the box
below.
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Yes,
please keep me informed
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| DATA
PROTECTION : |
Any information you provide will
be used by the Council for the purpose of dealing with this report and will not
be disclosed to the public. This information may be provided to organisations
working on behalf of the Council to rectify the problem.
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