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Blackbox22 Service Request

All sections must be completed. If the following information is not provided correctly and in full, your request will not be lodged. Lodgement will be deemed when the information required has been correctly specified.

Your request will be emailed:

  • To the software supplier
  • Tauranga City Council's Spatial Asset Specialist
  • Back to the applicant
  • To any other party specified by the applicant on this form

* indicates a required field

APPLICANT DETAILS

Applicant company:*
 
Contact name:*
 
Phone (work):*      
Email address:*    
Applicants role:*  

NATURE OF SERVICE REQUEST

What is happening? Please choose one or more from the list below.
 
Issue:






 

DESCRIPTION OF FAULT

Please type a brief description of what you did before the fault occurred.
 
Description:*  
Has this occurred to you before:*  

ATTACHMENTS

Attach files, screenshots, information relevant to this fault:
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Uploaded files (pdf, jpg, gif, png, doc, dwg, box)

Maximum file size is 10MB per file. The files must be in PDF, JPG, GIF, PNG, DOC, DWG or BOX format.

OTHER INTERESTED PARTIES

Send an email copy of this request to:

Please separate multiple email addresses with a comma

SUBMIT REQUEST

I hereby agree that all information provided on this form is correct and relevant to this service request.