Online Form - Report a Problem

The following form is to report an issue to the Shire online. This could relate to pot holes, broken signs, fallen trees, etc.

Please note the following issues should be reported to the relevant authorities as the Shire does not manage the infrastructure for these issues.

Issue	Relevant Authority	Contact
Faulty street lights Loss of electricity Down power poles	Western Power	13 13 51
Damage to Indian Ocean Drive* Damage to Brand Hwy*	Main Roads WA	138 138
Discoloured tap water Loss of water supply	Water Corporation	13 13 75

*All other roads report to the Shire of Gingin below.

Feedback & Complaints/Compliments

Note that the below form is for reporting issues only. Please click here to provide general feedback or to make a complaint or provide a compliment.

First name:*

Surname:*

Email address:*

Phone number:*

Item area to be addressed:*

Details of Request:*

Supporting documentation (i.e. photos, etc.):

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Any other comments:

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