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Environmental Health - Service Request Form

Environmental Health Services - October 2006
environmental.health@kirklees .gov.uk

Using the form below you can report environmental health problems or request services, application forms and further information.

If you are requiring information or advice, you could visit our Q & A section where you will find many frequently asked questions relating to environmental health.

Many of our application forms are available for download from the web site. Search our Index of forms for the form you require.

If you can't find the information or form you require, you can request it by completing the form below.

In order for us to provide you with an efficient service, and keep you informed with what is happening, it is essential that you provide us with all the information requested below.

Please note:
This service exists solely for the purpose of resolving issues relating to the area covered by Kirklees Council, England. Please refer to this map which covers the Kirklees area.


You must fill in all boxes marked *.

Your Details
e.g. Robin
e.g. Jones
e.g. 10
e.g. Crown Street
e.g. Golcar
e.g. Huddersfield
e.g. HD7 1EP
e.g. 01484 221000
e.g. robin.jones@kirklees.gov.uk


Problem Details


Response
On some occasions we may need to contact you for further information. Please tell us how you would like us to contact you.

Preferred contact method*
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