Required fields are marked with asterisks (*)

Report a Service or Facility Concern

Use this form to report non-urgent issues with County services or facilities. For road concerns within Haldimand County, please use our Report a Road Concern form.

Please call us to report an urgent service or facility concern. Between 8:30 and 4:00 p.m. please call 905-318-5932. After 4 p.m. please use our emergency after business hours contact 1-888-849-7345.

Incident information

What type of concern would you like to report?

Cemetery concern

Facility concern

Park concern

Trail concern

Water/sewer concern

What is the location of your concern?

What are the details of your concern? Please provide as much information as possible

Upload an image (optional):

Browse…

Allowed extensions pdf, jpg, jpeg, gif, png, tif

Contact information

First name

Last name

Phone

Notice of Collection

Personal Information contained on this form is collected under the authority of the Municipal Act, 2001, as amended and will be used for the purpose of processing this application/request. Questions about this collection may be directed to Facilities Operations or Environmental Operations at 905-318-5932 or facilities@haldimandcounty.on.ca or wwwops@haldimandcounty.on.ca.