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Bus stop defect form

Fields marked with an asterisk (*) must be completed.

Please provide details of the stop's location

If you wish to report or problem please fill in as many of the following details as possible to help us find the location accurately. Use the tab keys to move between boxes.

Location of fault

* Nearest Town/Village
* Nearest road name
Please detail any other information that will help us locate the problem. e.g. house numbers, junctions, landmarks, grid references etc.
Please click on the arrow and choose the category from the list that best describes the problem.
Please use the box below to add any more details if necessary, or if you have any comments or suggestions.

Personal details

If you would like us to keep you informed about your reported problem then please complete your details below, in particular your e-mail address.

Name
Address
Town
County
Postcode
Telephone
E-mail

Thank you for taking the time to report this problem

Data Protection Act 1998
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