Traffic problems and speed check issues Your details Your name Title * Please select Mr Mrs Miss Ms Dr Cllr First name* Last (family) name* Your email Email address Confirm email address Phone number Your address Postcode* Select your address * Address You have selected: Address Change address About the incident Where did the incident take place?* Please describe what happened* Date and time of incident Date* Use dd/MM/yyyy format e.g. 04/07/2020 Time* For example: 2:30 PM Were there any factors that may have contributed to the incident, for example traffic speed or visibility?* Have you reported this incident to the police? * Please select Yes No Please provide police incident number Please tell us about any other actions you have taken* Council details What would you like the Council to do to help?* Please note - depending on our findings it may not always be possible for the Council to carry out your request, but we do value your feedback and will contact you with our decision. How would you rate the information on this page? Good Average Poor