Gore District Council Customer Request Form

Instructions

Please provide as much information as possible to enable us to quickly process your request.
If you enquiry is urgent please phone us on (03) 209 0330.

Refuse / Wheelie Bin Enquiry

Refuse / Wheelie Bin Enquiry   

Customer details (Required)

Customer details (Required)

Name

Name
'

Contact Details

Contact Details
Residential address

Residential address

Postal address if different from residential

Postal address if different from residential

Do you want to be contacted? If so please choose your preferred method.

Other Contacts Add

Location Description

Enter a description of the location related to the call.

Description (Required)

Enter a description of events/problem.

Upload Attachments

Upload a file from your computer to support this enquiry.
Files can include photos, scans, documents, spread sheets etc.

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