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Environment & health

Report insect infestations form

Complainant information

Name of complainant

Address of complainant

Contact telephone number

Email

Details of premises causing the nuisance

Name of premises, if known

Address of premises, if known

Details of nuisance

Describe the nuisance / matter / problem

When did the nuisance occur ?

How Has This Effected You?

Data consent

Consent for storing submitted data

Yes, I give permission to store and process my data and agree to the Privacy notice

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