Graffiti Form
    • Last updated:
    • 06 Aug 2018

    Photographs note: A maximum of two images is allowed. Single files cannot exceed 5MB. Combined files cannot exceed 10MB. Accepted file types: jpg, jpeg, doc, docx, pdf, xls, xlsx, bmp, txt, zip ,ppt or png

    Reference number note: The reference number must contain 281116(Date)R155AB(Contract number), for example, 281116R155AB.

    If there is no information available for a *required field please enter N/A.

    Graffiti Incident Form

    Request Details

    Reference number - date and contract number. Example: 241116R155AB
    *
    Council asset
    Energex asset
    Main roads asset
    Private property
    *
    Building and Facilities Services
    Civil Works Services
    Parks and Gardens
    Waste Resource Management
    Community Development. Public Art ONLY
    *
    T1 request number
    *
    Purchase order number
    *
    Work order number allocated to the removal of this graffiti
    *
    Graffiti Details

    Date Service Request was reported
    *
    Enter tag description. You must enter FULL details
    *
    Method used in applying graffiti, for example spray paint, permanent marker
    *
    Further information if applicable
    Graffiti Location Details. Please enter the type of facility the graffiti has been applied to, for example, bin, bridge, skate facility etc.

    Facility type (e.g. public amenities, playground equipment, picnic table etc.)
    *
    Property or asset (Name: e.g. Charles Clarke Park)
    Property or asset address:
    *
    Property or asset suburb:
    *
    Cost and Coverage

    Total cost - excluding GST to remove graffiti
    *
    Coverage area. Approximate number of square metres of graffiti
    *
    Graffiti Removal Details

    External supplier
    Internal SCC staff member
    *
    If staff member selected enter name
    Staff member contact number
    If external supplier selected enter supplier name
    Supplier invoice number
    Supplier invoice date
    Photographic Evidence: Upload your photographs. Single files cannot exceed 5MB. Combined files cannot exceed 10MB.

    The text you enter here is displayed at the end of the form.

    Privacy

    Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect this information in accordance with the Local Government Act 2009 and other local government Acts. Your personal information is only accessed by persons authorised to do so. Your personal information is dealt with in accordance with council’s Privacy Policy.