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Highways Defect Form

All fields marked with * Required are required fields. Your enquiry can only be processed if these fields are filled in.

Description Of Defect

What kind of highway defect?

Please describe the defect.

* Required

The Location

Where is the location of the defect?

Please give as much information as possible to help us locate the defect		Examples
District or Borough in Hampshire		* Required (to enable us to assign this to the nearest Highways office). To locate the area view our Map of Hampshire
Nearest town, village or parish name (if known)		e.g. Romsey; King's Somborne; etc
Road name, road number or description		* Required; e.g. Winchester Road; A3057; Main road between Romsey and King's Somborne; etc
House number or any other detailed information about the location.		* Required; e.g. Outside No.14; Next to the kerb line; etc

Your Details

The more information you can provide, the easier it will be for us to respond or contact you again if we need more information.

Data Protection Act 1998 - We will only use your contact details to process your request and for administration and statistical purposes. We will pass your contact details to a third party only if it is necessary. Privacy Statement

Title
First name
Last name

Organisation
House / Building Number
Building Name
Street
City / Town
County
Post code
Daytime phone number
E-mail

If you do not wish to give your personal details please click in the box below.
I wish to remain anonymous

Please note, if there is insufficient information provided about the item, our staff will not be able to contact you to get further details

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