Submit Request

To submit a service request please complete the form below.

Mandatory fields are marked with a asterisk. In addition to the mandatory fields, please provide at least one option for contact. A description of the request must also be entered.

Information collected on this form is collected in accordance with council's privacy statement.

For information on council's customer service charter and service commitments please follow this link.

If your request is urgent please contact us on 1300 666 535
Request Type Debtors - General Enquiry
Sub Category

Select Applicable Category*

Location Details

Select the location at which the request is to be lodged against.

To select a location using the map, first find the location that you would like to use and click on it.
The address you have entered can not be displayed on the map or does not exist within the limits of the map.
The map location retrieval service is currently not available, please contact your Administrator.
The address is displayed on the map below


Name Details

Enter your contact details.

Please select applicable


Please enter at least one daytime contact number
Notify By

Request Description

Enter a descriptive explanation of the request to be lodged.

Additional Information

Please fill out the following additional information.


  Attachment Type Allowed File Types
Upload Supporting Documents. Maximum file upload size is 10Mb. PDF,DOC,DOCX,BMP,PNG,JPEG,JPG,MSG,ZIP


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Submit the Request

Click Submit to lodge this request. Once lodged you will receive a eRequest ID which you can use to track the progress of your request using the Track Request menu item.

© Campaspe Shire Council 2019