Work Request
This form will act as a mechanism for Silverdale residents to log jobs, such as litter picks, small clearances of fly tipping, basic land & vegetation maintenance, clearing vandalism or graffiti and simple repair jobs such as edging pavements, to our Community Payback team. The Community Payback team will be conducting such work across our Parish one day per week as from July 2019, on a 12 month trial period.

In urgent situations please contact your Parish Councillor by telephone - http://www.silverdaleparish.org/meet-your-councillors/
Sign in to Google to save your progress. Learn more
Your Name *
Phone number
Email address
All details provided will be processed and stored by Silverdale Parish Council solely for the purposes of management and review of services, and processing is necessary for the performance of tasks carried out in the public interest or in the exercise of official authority vested in the Council. Your details will never be shared with any other organisation. Do you agree? *
Your Report
What is the problem? *
Where is the problem?
What action would you like to see taken? *
Type
Clear selection
Any matters that do not fit the above specifications (such as anti social behaviour, or large amounts of fly tipping), can be reported here: https://www.newcastle-staffs.gov.uk/online-forms
How urgent is this problem?
Very high
Very low
Clear selection
Any further useful information
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy