Customer Request Form

Required fields are marked with an asterisk (*).

The Customer Request Form allows you to log a query to Council at any time. To log a request with Council please complete all of the fields and then click the submit button. Your request will be immediately sent through to the relevant Council staff member.

Contact Details
Enter your mobile number without spaces
Enter your phone number without spaces
Enter your phone number without spaces
Enter your postcode without spaces
Customer Request Form
Date of Request *