Overall form progress:
This form can be completed anonymously, you are not required to leave your details
However, if you do not provide your details, we will be unable to update you on the progress of your report.
Do you wish to remain anonymous?
Town/Village of Public Toilets
Location of Public Toilets
Any other information about location. Eg: Near beach etc
Please describe in detail the nature of the issue
Date of incident
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