Service Request

Please complete this form to report any issues relating to Shire-owned infrastructure or request Shire assistance.

For urgent after hours enquiries, please phone the Shire 24 hour line on (08) 9883 4999.

The Shire of Boddington collects personal information to process requests, applications and related enquiries. Information may be shared with relevant parties where required or as authorised by law. If the information is not provided, the request or application may not be processed. Further information is available in the Shire's Privacy Statement.

Full Name*

Email Address*

Phone Number*

Please select an appropriate category relating to your request*

Please provide a description of the issue*

Exact location of the issue (including the nearest cross road if applicable)*

If you have a photo, please attach it here

Max File Size: 10.00 MB
Allowed File Types: .jpg, .pdf, .png

Would you like to be contacted on the progress of this report?*

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