Transport

Use this form to report any stock truck effluent and other spillages on Northland roads.



WHEN 
Date:
  
Time:
(Please indicate AM/PM)
  
WHERE 
Road or street:
  
Which direction was the vehicle travelling:
(i.e. North bound)
  
Nearest town or landmark:
  
TYPE OF SPILLAGE 
What type of spillage was it:



  
If "Other" please state:
  
Whether conditions at time of event:


  
DETAILS OF OFFENDING VEHICLE IF KNOWN 
Company name:
  
Vehicle registration:
  
Trailer registration:
  
DETAILS OF EVENT / INCIDENT 
Provide any further details of event / incident below - describe the problem experienced:
  
In your opinion, was the spill:



  
Are photos available:


  
YOUR DETAILS PLEASE 
Title:




  
First name:
  
Surname:
  
Address:
  
Email:
  
Phone: