Online Form - Graffiti » Shire of Murray

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Nature of Graffiti

Is the graffiti racially or religiously offensive / threatening?

YesNo

Damage to a Motor Vehicle

Is the graffiti on a motor vehicle, trailer or caravan ?

YesNo

Your Details

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*

Report Details

Address/location at which the graffiti has been observed

Street Address:*

City:*

State:*

Post Code:*

Country:*

Does this property belong to you?

YesNo

Is this a business?

YesNo

Business Name

Asset damaged by graffiti*

Material used to mark the graffiti*

PaintMarker penScratchOther

Date observed*

Time observed*

Additional information*

Photo upload

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

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Online Form - Graffiti

Navigation

Introduction

Nature of Graffiti

Damage to a Motor Vehicle

Your Details

Report Details

Validate and Submit Form

Contact Us

Acknowledgement of Country