Pothole or Road Surface

Location

What is the street or road name?

Don't use abbreviations, use Road for Rd, Street for St.

(Fields marked with * are mandatory)

Describe the size and depth of the pothole or damage to the road surface. Try to include local landmarks to help us find it *

Is the Pothole or damage to the road surface on: *

Road

Pavement

Do you have a photo? (optional)

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Do you wish to report this anonymously?

Yes

First name*

Last name*

Email address*

Telephone number

Address*

Postcode*

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Your reference number is :

Location

Estimated Investigation Date

Within 5 working days