prefix *

 Mr.   Mrs.   Miss

First and last name *

Telephone number *

Example: 08xxxxxxxxx

Address of the informant (if any)

Location/point where leftover branches and leaves were found *

Residual material characteristics *

-- Select --leavesbranchBranches and leavesGrass/plant clippingsOther

Estimated quantity *

-- Select --Few (1-2 sacks/bag)Medium (3-5 sacks/bag)A lot (more than 5 sacks/pile)1-2 large twigsseveral large branches

Date the residue was found *

urgency *

-- Select --Very urgent (obstructing the way/risk of accident)Urgent (should be stored quickly)Mediumgeneral

Landmarks/Nearby Places

Convenient time to contact

-- Select --08:30-12:0013:00-16:30Contact us at any time.