Report corrupt conduct YOUR DETAILS Company Name First Name Last Name Street Address Suburb State Select ACT NSW NT QLD SA TAS VIC WA Postcode Phone Number Email address Preferred contact method Email Phone Post Do you consent to Tamworth Regional Council updating their records with the information provided above? Select Yes No REPORT What is being reported?* - required Detailed description of incident* - required You can also upload a text, Microsoft Word or PDF document. PRIVACY STATEMENT Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB). RecFullName you have entered an invalid code refreshGet Audio Code Type the code from the image Mandatory field(s) marked with * There are no form fields to display.