Your browser does not appear to support JavaScript. You may want to try one of the following:

Turn on JavaScript in your browser if it supports it.
Use a browser that supports JavaScript.
Try a JavaScript-free version of this page, if made available by the application author.

Session gone

Unfortunately your session is gone. You will be redirected to the home page.

Session gone

You will have to re-login once again to be able to continue editing yForms.

Help

Report-Waterissue

ReportNewWaterIncident

If this is urgent please call us on 03 941 8999, anytime.

* Required information

Show us where the problem is

Place a pin where the problem is. To change the location, you can drag the pin at the point of the pin or re-add the pin.

ServiceCategoryID

IncidentCategoryID

ObjectCategoryID

GIS intersection checkboxintersection checkbox

Location

NZTMX

NZTMY

Rating unit

Address ID

Location*

Please select a location

How can we help?

Select an option

Is property at risk? YesNo Select an option

Is this on private property? YesNo Select an option

Is there an immediate safety risk to people? YesNo Select an option

Do you have a photo of the issue? YesNo Select an option

Details

Would you like us to keep you up to date?

Yes, please keep me updated on progress

ff3796ed-1153-48e0-8a8c-916b36fad1c1

Confirm

Form Submitted

Review Form Validation Messages

Unable to complete action

Confirmation

Insert Above
Insert Below
Move Up
Move Down
Clear Line
Remove Line