Customer Action Request Form

Please use the form below when asking us for a service or action. These requests will be responded to within 10 working days and are formally logged in our CARS System for reference.

Customer Action Request Form

Your Contact Details

Name * (required)

Email Address * (required)

Telephone * (required)

Postal Address * (required)

Yes
NoContact me regarding this matter * (required)

Lodge Your Request

What is the nature of works required? * (required)

Animals Footpath Maintenance Roadworks Rubbish Trees Vandalism Other

Please enter a detailed description of your request (Maximum 1000 characters, for lengthy requests please attach a Word document on the link below) * (required)

Upload file

Upload file (1)

I acknowledge Wellington Shire Council's Privacy Statement. * (required)

Yes, I agree.

Please enter the code from the image to continue: (Required)

 

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