Report it Privacy The Town of East Fremantle is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to Town Contractor's for the purposes of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information please see the Town's Privacy Statement and Collection Notice. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ Name*This field is required. Address*This field is required. Email*This field is required. Phone*This field is required. Department*This field is required. Administration / GeneralCorporate ServicesRegulatory ServicesTechnical Services Type of Request*This field is required. Bins / WasteDogsDrainage / StormwaterFootpaths / PavingKerbingParkingPotholePruningRoads - Please provide road/s belowService Authority - Please provide Service Authority belowSignageStreet LightingTraffic / SpeedingTraffic ManagementTreesVergesOther - Please provide further details below Location of Request*This field is required. Request Details*This field is required. Add Pictures 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 Do you require a response?*This field is required. YesNo Type the code from the image: Get Audio CodeType the code from the image