Request for Service 

Council’s ‘Request for Service’ online form enables members of the public to lodge a customer request for service (Request) that is identified within Council's jurisdiction.

What is a Request for Service? 

A Request for Service is an application to have Council or its representative take some form of action to provide a Council service. (See Request for Service Policy)

A Request can be submitted electronically by completing the below form and will be forwarded to the appropriate Officer for assessment and action as considered necessary. A response will be provided within [10] business days advising of Council’s intentions in regard to the request.

A Request for Service is not a complaint.

A Complaint is an expression of dissatisfaction with a service which has, or should have, been received. To lodge a Complaint please complete the Complaints Form. A Request for Service must not include a Complaint.

Request for Service Form

* Mandatory Field

Request for Service

Request for Service Form

Your Details

Full Name*
Residential Address*
Phone Number*
Email Address*

Request for Service

Location Details

Location*
Request/Description*

Photo or Map

Photo or Map

If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.

PO Box 94
Melrose SA 5483
Tel: 08 8666 2014| Fax: 08 8666 2169