Fire Hazard

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Does your report require immediate attention?

YesNo

Your details will remain anonymous, however are required as we may need to contact you for additional information to assist our investigations.

Name and surname *

Mobile number *

Email Address *

Location of hazard

Street Address:

City:

State:

Post Code:

Country:

Date observed *

Time observed *

Please describe the concern that requires addressing *

Photo upload

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