Request a Service

If you are reporting vandalism/damage please also make a report to the police assistance line on 131 444 

About You

First Name

Last Name

Your Address

Property Number

Street

Suburb

Post Code

Your Contact Details

Primary Phone Number

Secondary Phone Number

Email address

Location of requested service

Same as contact address

Street Address

Suburb

Other details (closest cross roads, close to eg.)

Details of your request

What is the issue?

What do you want council to do about it?

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The information requested on this form will be used solely by the Moyne Shire Council. We will not use your personal information for any other purpose without first seeking your consent, unless authorized or required by law. The Council may not be able to process your request unless sufficient information is given. You may apply to the Moyne Shire Council for access to and/or amendment of the information on 1300 656 564