Wall of shame report form

Details

Picture reference number *

Name of fly tipper number 1 *

Address of fly tipper number 1 if known?

Name of fly tipper number 2

Address of fly tipper number 2 if known?

Registration of fly tippers vehicle if known?

How do you know of the fly tipper (fly tippers)? *

Any other details i.e. address of work place or any information that would assist with identifying the fly tipper (fly-tippers)?

Optional details

Your name

Your contact email address

Your contact phone number

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