Customer Request Management Entry.

Instructions

Please complete the information as requested below and then click SUBMIT. You will then be provided with a reference number and you will receive a confirmation email (if email address provided). NOTE: Requests logged online will be dealt with during normal business hours. Please call us for emergencies 24/7 and urgent matters.

Building and Amenities Maintenance

Please make your selection from one of the following: Buildings / Sports Facility / Public toilet from lists below

Buildings

Sports Facility

Public Toilets

Select Works Category

Description of Works *

Enter Description of Request

Please provide your contact details *

Customer

Name

Title

Surname / Company

Given

Contact Details

Residential address

Street address

Street address 2

Street address 3

Postcode

Postal address if different from residential

Street address

Street address 2

Street address 3

Postcode

Work

Home Phone

Mobile

Fax

Contact By

Telephone

Risk Rating (Required)

Attach photo/s

Browse for an attachment to link to this call.

/eservice