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  4. Report a Problem Form

Report a Problem Form

Let residents report local problems online, capturing the issue, location, photos, and safety flags so your team can respond fast.

Description

The Report a Problem Form gives residents a quick way to flag issues in their area, from potholes and broken streetlights to fly-tipping and damaged play equipment. A clear issue title and detailed description tell your team exactly what needs attention without a phone call or visit.

A problem location field pinpoints where the issue is, while a photo upload lets residents show the problem rather than just describe it. A safety concern flag ensures urgent hazards are spotted immediately, so your team can prioritize anything that poses a risk to the public.

Optional name and email fields let residents choose whether to be contacted about progress, keeping reporting effortless. Sign up for a free Fun Forms account to customize the fields and embed this report form on your website in minutes.

Form fields

Everything the Report a Problem Form above collects — 7 fields, so you can see exactly what it captures before you make it your own.

Report an Issue

  • Issue Title

    Short Answer Icon
    Short Answer

  • Describe the problem in detail

    Long Answer Icon
    Long Answer

  • Problem Location

    Short Answer Icon
    Short Answer

  • Attach Photo (if applicable)

    Short Answer Icon
    Short Answer

  • Is this a safety concern?

    Yes/No Icon
    Yes/No

  • Your Name (optional)

    Name Icon
    Name

  • Email (optional, for follow-up)

    Email Icon
    Email
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Template FAQs

Common questions about the Report a Problem Form — what it captures, when to use it, and how to make it your own.

What is a report a problem form?

A report a problem form is an online form residents use to alert a council to an issue in their area, such as a pothole, broken streetlight, or fly-tipping. It captures the problem, its location, photos, and whether it is a safety concern so teams can respond.

How does the safety concern flag work?

The safety concern flag is a simple yes or no field that lets residents mark whether the issue poses a risk to the public. Flagged reports can be prioritized by your team, helping urgent hazards like exposed wiring or dangerous obstructions get attention before less critical problems in the queue.

Can residents attach a photo?

Yes. The photo upload field lets residents show the problem directly, which often communicates far more than a written description alone. A clear image helps your team assess the issue, gauge its severity, and send the right crew or equipment without needing a separate site visit to confirm details.

Why include a problem location field?

The problem location field pinpoints exactly where the issue is, so crews can find and fix it without back-and-forth. Accurate location details cut down on wasted trips and delays, ensuring reports are actioned in the right place and residents see problems resolved as quickly as possible.

Do residents have to leave contact details?

No. The name and email fields are optional, so residents can report a problem anonymously if they prefer. Those who want updates on progress can add their details, giving you the option to follow up while keeping the reporting process quick and frictionless for everyone who uses it.

Is the report a problem form free?

Yes, this report a problem form is completely free, and you can customize the fields to match the issues you handle, embed it on your website, and publish it with no coding required. Simply create a free Fun Forms account to start receiving reports online.

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