Fault Report Form

Please be aware that where the issue is not the responsibility of Whaley Bridge Town Council, your issue will be passed on to the relevant local authority.

By completing this form you provide consent for Whaley Bridge Town Council to pass on your details to third parties solely for the purpose of dealing with your reported issue.

* Required Field

Please complete this form to report a matter in our area that requires attention.
Your name*:
Your phone number:
Your email address:
Please describe the problem (such as Overgrown Tree, Litter etc)*:
Address /Location of problem*:
Have you notified anyone else about the problem? (if yes, please provide details):
Has any action been taken?
Third Party Consent*: I hereby give permission to Whaley Bridge Town Council to provide my details to third parties in relation to my issue.	Yes

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Whaley Bridge Town Council

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