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Cymraeg
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Bus Shelters - report problems online
All fields marked with a
*
are required fields.
Your Details
Please provide us with contact details should we need to contact you with any queries regarding this service request.
*
Title:
Mr
Mrs
Miss
Ms
Dr
Cllr
(required)
*
First name:
(required)
*
Surname:
(required)
*
Tel No:
(required)
(incorrect format)
(inc. area code - only numbers allowed)
*
Email:
(required)
(incorrect format)
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Your Address
House Name/No:
*
Postcode:
(required)
(required)
If the address is not listed, please select ADDRESS NOT FOUND from the list to enter it manually.
Shelter details
*
Street:
(required)
(required)
If the street is not listed, please select STREET NOT FOUND from the list to enter it manually.
Nature of problem:
-- Please select --
Broken Glass
Broken Windows
Dirty
Grafitti
Seat Damage
Vehicle Damage
Other
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