Location of defect

Road name
Town/Village
Please detail any other information that will help us locate the problem e.g. house numbers, junctions, landmarks, grid references etc.
Please choose the category from the list below that best describes the problem.
Drainage/flooding problem Faulty traffic lights Overhanging tree Problems with a bridge Pot hole in the road Street light not functioning Damaged/uneven pavement Excessive weed/plant growth
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 you reported problem then please complete your details below, in particular your e-mail address.
Name
Address
Postcode
Telephone
E-mail

Data Protection Act 1998

The personal information collected on this form will be processed on computer to provide and manage the information or service that you have requested. For further details regarding your privacy please see our Privacy Statement.