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Customer Service Online Request Form

Brimbank City Council - Privacy Statement
Protecting your privacy and personal information is an important responsibility of Council. Council supports and endorses the Information Privacy Act 2000 (Vic).

Council's Information Privacy Policy

Contact details
First Name *
Last Name
Unit/Street Name
Street Name
Street Type
Suburb
State
Postcode
Telephone and Email contact details
Phone Number Home
Phone Number Business
Email Address *
Location of request/service if not the same as above
Location description *
Unit/Street number *
Street Name *
Street Type *
Suburb *
Postcode *
Request Details (please select a request type and add additional information under further details)
Abandoned/Derelict Vehicle
Request to remove abandoned/Derelict Vehicle (not from private property)
Animals
Complaint/report about animals


Bins
Request to empty Bin not emptied or replace parts on bin
Condition of Land
Condition of Land (grass cut or rubbish removed)
Drainage Pits
Drainage Pits
Dumped Rubbish
Dumped Rubbish (not private property)
Footpath
Footpath
Graffiti
Graffiti (not on private property)
Parking
Not on private property
Parks and Reserves
Request to mow grass in a Park or Reserves
Playgrounds
Request to repair damaged/broken play equipment
Roads
Request to repair pot hole
Signs
Request to replace sign
Street Furniture
Request to repair Street Furniture
Street Sweeping
Request to clean street
Trees
Tree request (not on private property)


Other
Description of request (max 400 characters)
 

 

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