Flood Incident & Drainage Issue Report Form

Any fields marked with a '*' are mandatory fields. If you hover the mouse over the help icon Help Icon of any field, then extra information will be displayed about that field.
 

Contact Details

 
I want to report: *
I want to report:

Details of Flooding Incident

Which of the following has been affected as a result of flooding, please select from the list: *
Which of the following has been affected as a result of flooding, please select from the list:
 
Where is the water coming from? *
Where is the water coming from?
When did the flooding happen? *
When did the flooding happen?
Has flooding of a similar nature occurred at the premises before?
Has flooding of a similar nature occurred at the premises before?
Has the flood water affected any other properties?
Has the flood water affected any other properties?
Have you contacted any other organisation regarding the flood? (Such as the Bedfordshire Fire and Rescue Service, the Environment Agency, etc)?
Have you contacted any other organisation regarding the flood? (Such as the Bedfordshire Fire and Rescue Service, the Environment Agency, etc)?

Details of Drainage Issue

Evidence

Written and visual evidence is very useful for us when investigating a flooding incident/drainage issue and may help us to identify additional information.

 

Data Protection Act 1998

Please note that the personal details supplied on this form will be held on a file and/or computerised by Bedford Borough Council for the purposes of managing flood risk. Your personal details may be shared internally within the Council for this purpose, but will be safeguarded and will not be divulged to any other individuals or organisations without your consent for any other purposes.

In order to resolve your issue we may need to pass your details onto another organisation, please indicate whether you consent to this *
In order to resolve your issue we may need to pass your details onto another organisation, please indicate whether you consent to this
If you say 'No' then the council will not be able to pass your details on to any third party organisations (such as the Environment Agency, Anglian Water, the Internal Drainage Board). However, if after further investigation the issue that you are reporting requires advice or action from these organisations then the council will seek for your consent to share your contact details.
 
All personal information collected will be covered by our Privacy policy.
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Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422