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Use this form to make a request, report an issue, seek information or provide feedback on Council related matters.

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Please describe the specific enquiry or issue (using as much detail as possible)*
Address or nearest street and cross street (if applicable)
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Your Details
Your Name*
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Company Name (If Applicable)
Your Address (compulsory)*
Street Address Address Line 2 Suburb/Town State Post Code
Your email (compulsory)*
Email Address Confirm Email Address
Your Phone (compulsory)*
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Privacy Collection Statement: Waratah Wynyard Council collects personal information for municipal purposes. The information collected in this form is used only for the purpose specified (primary purpose) and is not passed on to third parties. Council may disclose this information only if authorised or requested by law. Council may not be able to process your request unless sufficient information is given. Should you need to change or access your personal details, or you require further information about Council's Privacy Policy please contact Council's Privacy Officer.
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