Use this form if you didn't witness the fly-tipping taking place Your details Name Customer name Title Title Select your titleMissMsMrMrsDoctorOther… Enter other… First name Last name Address Customer address First line of address Second line of address City/Town Postcode Contact Email address Telephone number Report details Location Location Details My street Specify location Specify location Report Please provide as much information as you can, including what the fly tip contains and any vehicles witnessed. Did you witness the fly tip? Yes No Your Report Evidence Provide any images you have taken ? 10489
