Please complete the form with as much information as you can, so we can determine the type of follow up action required.
The information you provide on this form will be held by Cornwall Council and used by us to process your service request. We will share this information with other Cornwall Council services for any other relevant Council purposes including Government anti-fraud data matching. Your information will not be used for any other purpose by Cornwall Council or third parties listed above, and will not be passed onto any other third party without your permission. In accordance with Cornwall Council’s Record Retention Policy, the information you provide on this form will be retained for 15 years, after which period it will be destroyed in a secure manner. All personal information held by Cornwall Council is held safely in a secure environment.