Electoral Services General Enquiry

Fields marked with * are required
Query
1. Please provide details of your query*
  Please note your response is limited to 1000 characters
Your details
1. Your Name:*
2. Do you have an email?*
  
  Yes
  
  No
3. Your Email:
4. Your telephone number:*
5. Please enter your postcode and click on 'Find Address'. Then click on the drop down arrow on the address box and choose the correct address
  
  If your address is not shown please enter the address manually and use the map to pinpoint it.
6. Your Postcode*
8. Address Box
9. First line of your address*
10. Address 2
11. Town*
12. Postcode*
13. Please upload any relevant images/documents
  Permitted file types: JPEG, PNG, PDF. Maximum file size: 5MB
15. Are you completing this form on behalf of someone else?*
  
  Yes
  
  No
16. Assisted service details
  1. In what capacity are you completing this form?
    
    CC Staff
    
    Agent/Solicitor
    
    Relative/Friend
    
    Carer
    
    Other
  2. Name of person completing this online form
  3. Email of person completing this form
Privacy statement

Breckland Council is collecting this information, via this form, in order to perform this service or function, and if further information is needed in order to do so, you may be contacted using the details provided.

In performing this service, the Council may share your information with other organisations or departments, but only when it is satisfied that it is necessary to perform a public task, or to exercise its statutory duties to do so.

The Council may also share your personal information for the purposes of the prevention, investigation, detection, or prosecution of criminal offences, but will not share your personal information, or use it for any other purpose, unless provided for by law.

More detailed information about the Council's handling of your personal data can be found in our privacy policy.
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Electoral Services General Enquiry

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Electoral Services General Enquiry

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