Pests Complaint/Enquiry Form

Please fill out the form below if you would like to make a pests enquiry or complaint.

Please note: complainant details remain confidential; any anonymous complaints will not be actioned.

Complaint Information

What does your complaint/enquiry relate to?*

Please describe the issue or query:*

Site causing concern (address causing problem):*

Have you made attempts to resolve this matter?*

YesNo

Personal Information

Your Name*

Email*

Your Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Privacy Statement

The personal information collected on this form will be used by the Town of Bassendean to manage and administer its services and meet legal and governance obligations. Your information may be disclosed to relevant third parties where necessary to provide these services or where required or permitted by law.

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