Customer Request Form

Important:
If you need to lodge a hazardous request or report an emergency situation please phone (08) 8584 8000 anytime.

Please Note - Council gathers your personal information to enable processing of your request for service. Use of this information by Council will be limited to the processing of your request.

Contact details
If different from residential address.
Preferred contact method Note if no option selected no response will be provided.
Request
Request Type *
Provide location of the request – detailed location description and any other specific information that may assist us to locate the area.
Include a detailed description of your request to help us assess your enquiry.