Request a service
Report air pollution
The form below is comprised of two sections, which are to be completed in separate stages. Enter your personal details in section 1, and then go to section 2 using the continue button. When you have completed section 2, you can submit the form and you will be provided with a summary of the information you have sent. If you have made a mistake you can use the clear button to start again. Completing the form will only take a few minutes.
- All fields marked with an asterisk* are required and must be completed
- If you do not provide an email address it will be impossible for us to reply to you by email.
Contact: Environmental Health
Telephone: 01422 398001
Service provided by: Housing and Environment