For matters regarding safety, timing or that you were not notified, please complete this form. Required fields are marked with an asterisk ( * ).
Your contact details
Type of Event
Did you receive prior notification (e.g. letterbox flyer)
Fireworks display details
Reason for your complaint
Select any that apply.
Do you know if fireworks have been used previously at this location?
Have you already reported your concerns or complaints about the fireworks display?
If yes, select any that apply.
Is there anything else you would like to tell us?
Please upload any relevant attachments (e.g. photographs, maps). Maximum of 2 attachments, with maximum file size 5MB per attachment.
I understand that all information supplied on or with this application form may be disclosed publicly in accordance with the Right to Information Act 2009, the Information Privacy Act 2009 or the Evidence Act 1977.