Report a complaint about water

Please complete the below information.

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Your Details
1. 1. Title*
  2. First name(s)*
  3. Last name*
2. Email*
3. Confirm Email*
4. Contact Telephone*
5. House name/number*
6. Street or Road Name*
7. Village
8. Town or City*
9. Postcode*
10. Please use capitals and a space e.g. BA4 5BT when entering your postcode
Water Supply
1. Name of Private Water Supply your property is on
2. Contact Details of supply owner (if known)
3. Problem
4. Please provide as much details as possible to assist officers, e.g. nature of the problem, how long it has been occurring, has it happened before, any contact you may already have had with the owner or managing agent.
5. Further details

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