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Graffiti report form

* Are you a registered Adopt-A-Park volunteer/supporter

Address or location of Graffiti

Nearest cross street

Type of item damaged:

Details

Owner of asset:

Description of damage:
What does the graffiti say?

* Is this recurring damage?

* Item used to make graffiti:

* Is the graffiti racist or obscene?

* Have the police been notified?

If yes, what is the report number

* Date Graffiti was identified

Select a date from the calendar.
  Contact Details of person reporting damage (Contact details need only be provided if you require feedback about your graffiti report)

Name

Address

Phone

Email

Copyright 2013 City of Stirling
Phone (08) 9205 8555       stirling@stirling.wa.gov.au       25 Cedric St, Stirling 6021, Perth, Western Australia