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This form is specifically designed to collect feedback on if there is a problem with any of our pages.

If you have a general enquiry, please use our dedicated General Enquiry form instead.

If you have a bin/waste problem, please use one of our Report a Problem online forms

If you have a Planning enquiry, please use our dedicated Planning General Enquiry form
Fields marked with * are required
Layout
1. What type of issue did you encounter on this page? (Please select all that apply)*
  
  Accessibility concerns (e.g., font size, colour contrast)
  
  Broken link(s)
  
  Page did not load properly
  
  Problem with payment
  
  Text errors or incorrect information
  
  Other (Please specify)
2. Please specify other:
3. Payment problem info
  1. What type of device are you using?
    
    Phone
    
    Tablet
    
    PC/ Laptop
  2. What browser are you using?
    
    Google Chrome
    
    Safari
    
    Microsoft Edge
    
    Firefox
    
    Other
  3. Please specify other:
  4. What operating system are you using?
    
    Windows
    
    macOS
    
    Android
    
    iOS
    
    Linux
    
    Other
  5. Please specify other:
  6. At what stage in the process did your attempt fail?
  7. Was there an error message or just a blank screen?
  8. If there was an error, what did the error say?
  9. What was the Date/Time you tried to make payment?
  10. What is your address and postcode?
4. Please provide more details about the issue:*
  If your problem is related to an address, please provide your address and postcode.
  
  You can enter up to 500 characters
5. If applicable, can you describe the steps you took before encountering the issue? (Optional)
  You can enter up to 500 characters
6. If possible, please share a screenshot of the problem.
  Permitted file types: JPEG, PNG, HEIC. Maximum file size: 5MB
  
  No file chosen
7. Are you happy to be contacted if we need further information regarding your feedback?*
  
  Yes
  
  No
8. Name
9. Email address
10. Contact telephone number
12. Privacy statement
  
  Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.
  
  In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.
  
  The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.
  
  More detailed information about the Council's handling of your personal data can be found in our privacy policy.

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