Please complete sections by entering information into the appropriate boxes. The information you submit will be received and processed by the relevant Flintshire County Council Department.

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Please Select your Enquiry Type

Enquiry Type:

Your Details

Title:
Forename:
Surname:
House:
Street:
Town:
County:
Postcode:
Email:
Phone Number:
Language Preference:	Audio Tape Braille CDROM (Compact Disc) Email Large Print Welsh

House
Street
Town:
County:
Postcode:
Registration Number:
Colour:
Manufacturer:
Model:
Dangerous Location:	Yes No
Vehicle Condition:	Good Poor Dangerous Vandalised Burnt Out

Please describe the person:
Do they have a car?	Yes No
Registration Number:
Manufacturer:
Model:
Colour:
Where is the car?

Do they live with a partner?	Yes No
Are they working?	Yes No
Is their partner working?	Yes No
Do they have undeclared money?	Yes No
Do they live elsewhere?	Yes No
If working, where do they work?
How long have they worked there?
What time do they go to work?
What time do they get back from work?
How do they get back?	Bus Car Cycle Picked Up Walk
If picked up - details of other car / van.
If they have an undisclosed partner
What is the partners name?
Do they work?	Yes No
If Yes, where do they work?
What time do they go to work?

Name of Owner:
House of Owner:
Street of Owner:
Town of Owner:
Nature of Complaint:	Dog Fouling Request for Street Cleaning Request for No Fouling Signs Stray Dog Dog to be Collected

Name:
Address:
Postcode:
Phone:

Company Name:
Address Line 1:
Address Line 2:
Town:
County:
Post Code:
Telephone:
Fax:
Email:
Website:
Contact Name:
Position:
Business Description:
Number

Cemetry Location:
Grave Number:
Grave Section: