Report a Facility Concern

Please Note

This form should only be used for basic maintenance to Shire facilities and the surrounding grounds. If you need to report road/footpath maintenance, parking issues etc. please see the forms here.

If the issue presents a significant risk to people, or is urgent, please make sure you call 5950 1000 after raising your request.
What does the issue relate to?*
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Facility ID
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Facility Name
Where in the building is the issue?*
What is the issue? (Short summary)*
Priority*
Describe the issue in more detail*
Attach a file
Drop files here or

Max. file size: 128 MB.
Please attach any pictures of the issue
Do you wish to receive updates about the request?*
You will receive an e-mail with your request number regardless of your choice.
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Confirmed phone
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Appropriate Priority
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Risk
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Existing Building
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UDFs
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UDFnames
Input officer has confirmed telephone details,,Does customer wish to be contacted,,How Received,,Building Name or Type,,Is there a risk of injury to person or property?,,Is the priority appropriate,,Is this maintenance for an existing shire building,,Where in Building(EG-Foyer),,Describe Issue in Detail
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UDFvalues
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How Received
Name*
First Last
Phone*
Email*
Disclaimer

The information on this form is being collected by the Mornington Peninsula Shire and its authorised contractors in accordance with its Privacy Policy, the Privacy and Data Protection Act 2014 and the Health Records Act 2001 for the purpose of actioning your request.

You may access personal information you have provided to the Shire and make corrections by contacting the Shire’s Privacy Officer privacy@mornpen.vic.gov.au. The Shire will only use this information for the purpose it was collected and may use it for a secondary, related purpose that could be reasonably expected.
Phone
This field is for validation purposes and should be left unchanged.

Report a Facility Concern

Please Note

Disclaimer