Highway Defect Report > Road Defect Report > Pavement Defect Report > Signs and Sreet Name Defect Report > Flooding Report > Bus Shelter Report > Kerb Defect Report > Contact Details > Finish
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Type of defect: Please Select... Road Defect Pavement Defect Signs and Street Name Plates Flooding Bus Shelter/Stop Kerbs Other
If you have answered other please give a brief description along with any other comments you feel may be useful.
Click the Browse button to upload a photograph (if you have one) of the problem:
When was the defect first observed?
Type of road defect: Please Select.. Pothole Cracking Edge Deterioration Kerbs (need clearing) Obstruction Broken or Sunken Manhole/Drain Cover Crash Barriers Damaged/Missing Studs/Catseyes Missing/Damaged Mud on Road Other
Type of pavement defect: Please Select.. Uneven Surface Cracked Paving Kerb Damaged Pothole Obstruction Trench/Excavation Hazard Other
What is wrong with the sign/street name plate? Please Select.. Street/name plate damaged or defaced Traffic sign damaged or defaced Sign knocked down Sign missing Sign obscured Other
Type of flooding: Please Select.. Overflowing Drain/Manhole Flood on road Other
What damage has the bus shelter/stop sustained? Please Select.. Damaged or defaced Light Flickering Other
What is wrong with the kerb? Please Select.. Damaged Loose Missing Raised Weed growth
How would you like us to contact you regarding this issue? Please Select... Email Telephone Letter In Person
Please supply a valid email address so we can send you confirmation details of the report.
If applicable, can we use your email to contact you in the future? Your email address will not be given out to any third party. Please Select.. Yes, use my email address No, do not use my email address
Your Name:
House name or number:
Street Name:
Town/Village:
Postcode:
Telephone Number: