1. Home
  2. Health, Safety and Rangers
  3. Public Health
  4. Public Health Complaint Form

Public Health Complaint Form

Print Blank Form

Public Health Complaint Form

All fields are mandatory unless marked as (optional). Please note that this form is for reporting problems within City of Cockburn only.  All barking dog complaints should be directed to our Rangers Services Department.

Contact name and details

Your address

Address of premises causing nuisance

Issue details

Have you attempted to resolve this matter

Please note:

  1. Your details will be kept confidential, however the City of Cockburn is subject to the Freedom of Information Act, 1992.
  2. While every effort will be made to resolve your request promptly, please understand that Council has limited resources and environmental health issues need to be dealt with in order of priority.
  3. Council undertakes to notify you within 5 working days of this form being returned of how your request has progressed.
  4. Should further detail be required, an officer will contact you via phone or e-mail.
  5. Should this matter be referred to Court for prosecution, you will be called as a witness.

Contact

Address

City of Cockburn
Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

Language Support

Social Media

Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past, present and emerging.