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test form

This page is for testing a new submission form workflow.

Your Contact details
Please provide your full name
If applicable
Please provide a daytime contact number
Privacy
Please note, as required by legislation, your submission (including contact details) will be available to the public and media and on the Council website as part of the decision-making process, unless you request that these details be kept private. To keep your contact details confidential, please tick this box.
Your feedback



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Photo shows person using the app on their smartphone. Embedded text says "Reporting local issues is a snap."

Download our smartphone app to help make reporting issues easy

Report issues to Palmerston North City Council using the smartphone app Snap Send Solve.