* Mandatory Field
All details provided to Council are confidential and will not be disclosed.
Your details are for our records only and will assist us with ensuring a prompt response is received by yourself and the issues raised, resolved.
I.e. 66 Walkerville Terrace, Gilberton SA 5081
Leave blank if your postal address is the same as residential address.
Please include as much detail or include photographs where possible, to assist council with your report.
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Council Employee or Department
Send a copy of the submitted form to this email address.