Isle of Wight Council

	Drainage Enquiry Report Form
	Housing and Community Support Services 7 High Street, Newport Isle of Wight, PO30 1SS Telephone number: 01983 823040 / Fax number: 01983 823050 e-mail: [email protected]
	This form should be used to report drainage incidents on the Isle of Wight. Drainage incidents may include blocked drains/sewers - overflowing drains/sewers - (includes cesspits and septic tanks). Please note: The Housing Officers have powers relating to private drains/sewers - public sewers are the responsibility of Southern Water Services Ltd.

	About the Drainage Incident
	Property/Incident Address/Location:

*	Building/house name/number
*	Street address
*	Town name
	County
*	Postcode

*	Type of incident:	Blockage Overflowing *Other
	*If 'other' please specify here:

Additional Information

	Reason for enquiry:
	Is the property pre 1937?	Yes No
	Any additional notes of relevance:
	Date & Time:

Your Details

	Forename
	Middle name/Initials
	Surname

	Building/house name/number
	Street address
	Town name
	County
	Postcode
	Tel number (include area code)
	Email address

	Data Protection Act 1998
	This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request. The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest. Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law. Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box