Service Issue Form

Please be advised that we have taken the decision to put in extra measures at this time to ensure that we are prioritising our more vulnerable residents, this may result in a delay in responding.

We appreciate your patience and understanding during this time.

Fields marked with * are required
What would you like to contact us about?
1. Are you contacting us about an existing query?*
  
  Yes
  
  No
2. Please provide information in the box below of why you have needed to contact us*
Your Details
1. Your Name*
2. Your Email Address*
3. Your Telephone Number:*
4. Please enter your address postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
5. Postcode:
7. Address:
8. Address 1
9. Address 2
10. Address 3
11. Town
12. Postcode
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.

Last updated: 29/04/2022 11:14:40

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Service Issue Form

Privacy statement