Request for Service

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Please tell us what you think about our services or website. To make sure we deal with your comments correctly please provide as many relevant details as possible.*

Please enter details about yourself

If the service is not to be provided to your address or to you personally you may remain anonymous.

Title

Name

Address

Postcode

This will help us identify which parts of the borough require this service

Telephone No

Please provide if you would like us to ring you

Please provide if you would like a response by email

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Note

We are currently investigating making this form available on a secure server which will also allow you to monitor progress on-line.

In the meantime please be aware that while Wirral Council will treat the contents of this form as confidential the information provided is being sent over a public network.