Submit Request

To submit a request fill in all the required information listed below. Mandatory fields are marked with an asterisk. Along with the mandatory fields you must select and provide a contact method to be contacted on.
Request Type Animal Requests - Report animal attack
Sub Category

Select Applicable Category*

Location Details

Search for property relating to the request. Select the location tab to search for a facility name.

Please enter your street/unit number and street name only
eg. '2120 Albany Highway' or '1/35 Smith Street'.

If your address search returns no results, please contact the City of Gosnells on 9397 3000 for assistance.

Name Details

Enter your contact details.

Please select applicable

Please enter at least one daytime contact number
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Request Description

Provide details for this request.

Additional Information

Please fill out the following additional information.













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Submit the Request

Click submit to lodge this request. Once lodged you will receive an eRequest ID, which you can use as a reference

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