* Denotes that the field is mandatory.

Please complete this form to report an issue within the City of Perth
Please do not use this form for parking infringement appeals, click: Parking Infringement Appeal

Please note that details of your transaction are logged. For information, please read our Privacy Statement

First name *

Surname *

Email address *

Phone number

Mobile number

Summary of report *

Details of report *

Would you like the City to respond to you regarding this report? *

How would you like the City to contact you?

Please attach a document or image if it will help with your report.

Description of the attachment

Attach file here