Contact Us Form

Your general enquiry details: *

Property - location of the request (if applicable): * Enter the details of the property your request is in relation to

Parcel ID: *

Do you have photos or supporting documentation to upload: *

Upload Attachments: * (maximum 10 MB per file; limit 3 files)

Use the "Choose files" button (above) or drop files here to upload.

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Are you applying as an individual or Company?: *

Individual
Company

Title: *

First Name: *

Middle Name(s): *

Surname: *

Home Phone: *

Mobile Number: *

Contact name: *

Company / Organisation Name: *

ABN: *

Office Number: *

Fax: *

Email Address: *

APPLICANT'S PHYSICAL ADDRESS

Physical Address: *

Physical Address Line 2: *

Physical Address Line 3: *

Suburb: *

State: *

Postcode: *

Is the postal address different to the physical address?: *

APPLICANT'S POSTAL ADDRESS

Postal Address: *

Postal Address (Line 2): *

Postal Address (Line 3): *

Suburb: *

State: *

Postcode: *

How do you want to be contacted?: *

YOUR PRIVACY

Port Stephens Council is committed to protecting your privacy. We take reasonable steps to comply with relevant legislation and Council policy.

Purpose: Council is collecting this information to provide you with answers to your question to Council.

Intended recipients: Council staff and other government agencies, as required.

Supply: Voluntary

Consequence of Non Provision: Your request may not be accepted or processed due to a lack of information.

Storage and security: This document will be saved in Council’s records management system in accordance with Council policy and relevant legislation.

Access: Please contact Council on 02 4988 0255 to enquire how you can access information.

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Contact Us Form

APPLICANT'S PHYSICAL ADDRESS

APPLICANT'S POSTAL ADDRESS

YOUR PRIVACY

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