Reporting Date
-
Month
-
Day
Year
Date
RESIDENTS REQUEST FOR SERVICE FROM RNM
Municipal Ward Number
Municipal Ward Number
*
eg 1
Not sure
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Enter your Ward Number
UGU DM
is responsible for all
Water, Sanitation and Public Health
.
Please use the link below to request service from UGU
UGU Report Form
Ray Nkonyeni Municipality
(RNM)
is responsible for most other Service Provision.
Complete below and submit
Is this request for:
Ray Nkonyeni Municipality
Umuziwabantu Municipality
Service request
*
Pothole
Grader needed
Streetlight
Robot not working
Refuse Collection
By Law complaint
Verge Maintenance
Drainage clearing
Dumping report
Plot clearing
Dumping report
Litter location
Rates enquiry
Account query
Pollution
Public Safety
Customer Service
Details of Service Required
Location of service required if different to address submitted below
Please attach any documents or pictures that you feel are relevant to your request.
Select File or take Photo
Click here to choose file or activate camera on your Smartphone
Cancel
of
Full name
*
Full address where service required
*
Cell number
*
Land Line
email address
ID Number or birthdate (optional) but requested
Do you wish your Councillor to assist?
Yes
No
Preferred method of contact by RNM or your Cllr
Cellular
email
Landline
Submit
Print Form
Should be Empty: