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	Bassetlaw District Council Queen's Buildings, Potter Street, Worksop, Notts, S80 2AH
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	01909 501758
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To report fly tipping, please use the form below:


Details of Fly Tipping
1. Todays Date

2. Did you just discover the waste or actually see it being fly-tipped?

3. Day, date and time that you discovered the waste or saw it being fly-tipped

4. Location eg, place, landmark, street, town, grid reference

5. A description of the waste eg. bag, drum, fridge, tyres, building waste

6. The Quantity or volume of waste eg. number of bags, a van load, multiple loads
If you saw the waste being fly-tipped.......
7. Who was with you?
8. Who did you see?
(a) How many people did you see fly-tipping and what did they look like? (b) Did you recognise any of them? (c) Can you describe them e.g. gender, hair colour, distinguishing features?

9. What did these people actually do?
10. Was there a vehicle involved? If so:
(a) What did it look like? (b) What was its make, model and colour? (c) What was its registration number? (d) Were there any distinguishing features or signs on the vehicle?
11. Where you were when you saw the fly tipping?
(a) What kind of view did you have? (b) How far away were you? (c) What was the weather like? (d) Was it light or dark?
Your Details (mandatory)
Title:
Forename:
Surname:

Address:

Contact Telephone Number:

Email Address:

Type the numbers you see in the picture below.

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Last Updated - 28/02/2012

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