Graffiti incident form
  • Last updated:
  • 28 Jun 2021

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.