Online Form - Customer Request Form » Town of Port Hedland

To the best of your knowledge is this request related to*

Animal keeping / pets
Heritage issue
Rubbish
Asbestos/ hazardous materials
Home based business
Rubbish truck
Food premises / food product
Planning non compliance
Swimming pool/spa
Noise
Unauthorised land use
Demolition
Light Overspill
Unauthorised structure
Building non compliance
Dust / sand drift
Retaining Wall
Dilapidated building
Cross Overs
Street Lights
Signage
Footpaths
Other

If the complaint is relating to noise, which category best fits your request?

Air-conditioner
Liquor licensed premises
Rubbish Truck
Alarm
Musical instrument
Commercial premises
Sporting/community event
Outdoor concert
Party / Stereo
Industrial Premises
Traffic
Power tools / workshop
Other

Address of property of concern*

Describe the nature of your request*

Attach any relevant evidence including photos or documentation to support your request. If providing multiple files, place them in a .zip file.

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Have you attempted to resolve this matter yourself?*

YesNo

If YES, what actions have you taken?

I wish to lodge this customer request and everything stated on this form is true and correct.

Your full name*

Date*

Please Note:

The Town of Port Hedland receives a large number of requests relating to various matters and these are dealt with in order of receipt and priority, such as risk to the public health and safety.
Anonymous requests will only be investigated in exceptional or emergency circumstances
The Town of Port Hedland is subject to the Freedom of Information Act 1992.
Should legal action be necessary, you may be required to give evidence in Court.

Online Form - Customer Request Form

Customer Details

Service Department

Complaint Details