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Name
1. First name*
2. Last name*
Organisation Details
1. Organisation or business*
Your address
1. Address lookup
  1. Postcode
    
    Address
  Enter your post code to find your address.
2. House name/number
3. Street
4. Town
5. Postcode
Contact Details
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2. Mobile*
Label
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2. Area or place of interest*
3. Purpose of enquiry*
4. When would you like it by?*
Declaration
1. Your declaration
  
  I understand the following:
  
  You will use the information I have provided to process my request / report.
  
  You may check some of the information with other sources within the council or other councils and government departments.
  
  You may also get information about me from certain other organisations, or give information about me to them to: make sure the information is accurate; prevent or detect crime; and protect public funds. These other organisations include government departments and other local authorities
2. I understand the statement above and I declare that the information I have given on this form is correct and complete. *

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