Fly Tipping Report Form

If you would like to report fly tipping, please complete the following form.

Information you provide is subject to the Data Protection Act 1998.

If you have any problems filling in this form, please contact us on 0800 408 2000 (freephone) or 01452 424344 (normal charges apply).

Fields marked with * are mandatory

Where has the rubbish been left?
Street / road*
If street or road is not known, please give the location (e.g. outside a specific address / landmark)
Details*
Do you know who owns the land?
Owner*
What kind of rubbish is it? i.e. bed, food, furniture
Rubbish*
Do you know who left the rubbish?
Their name
Their address
Your contact details:
Name
House no. / name
Street / road
Postcode
Tel
Email
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