Form Sample
Your details
Forename
Surname
Email address
Contact Telephone
Can contact via email?
Yes
No
Fly tipping details
What has been fly-tipped?
Tyres
Car
Electricals
General Waste
Specific detail
None
Car tyre
Tractor/Lorry tyre
Description
Number of items
Waste located on public land?
Yes
No
Don't know
Any other information
Image upload
Upload an image (jpg only)
Fly-tipping location
Latitude
Longitude
Continue
Submission status