LGA Complaints and Feedback Form

Required fields are marked with an asterisk (*).

Contact Details

Title

Firstname

Surname

Mobile Enter your mobile number without spaces

Address line 1

Address line 2

Postcode Enter your postcode without spaces

Suburb

Feedback Complaint Details

Please tell us the nature of your feedback or complaint. *

Please select the date of the incident *

Day Month Year

Attach relevant documentation here.

Do you have any details of the feedback or complaint that you can outline to help us resolve the issue

How would you like to be contacted about this matter? *