Noise Investigation Request Form

Noise Investigation Request Form
Team Name
For the City to investigate your noise concerns, you must;
- Lodge this Noise Investigation Request Form, and
- Attach your completed Noise Log Sheet (noise logs should be a minimum of 14 days worth).
If you have NOT completed a Noise Log Sheet. Click here to download

It is important that you accurately record the noise nuisance as it affects you, providing as much information as possible. This information should also identify the source of the noise (at least the property address).

This information will then be used to determine the nature of the noise and possibly identify a pattern of the times and days the noise typically occurs. Details provided will then assist the Environmental Health Officer in investigating your noise issue.

Please Note:
- The City receives a large number of requests relating to noise issues and these are dealt with in order of priority.
- In some cases, legal action may be necessary to resolve a noise problem. In such cases, the evidence of persons affected by the noise may be vital to achieving a successful outcome. Anyone making a noise complaint should be aware that they may be required to give evidence in Court should the need arise.
- A mediation service is provided by the Citizens Advice Bureau and may be recommended by the City.
- The City is subject to the Freedom of Information Act 1992.
- The City will not commence the investigation of your request until the Noise Investigation Request Form is submitted with a completed log sheet.
If you have a completed noise log sheet and agree to the above considerations, proceed to the next page to complete a noise investigation request.

Your Contact Details
Full Name*
Address*
Suburb*
Post Code*
Main Contact Number*
Alternative Contact Number
Email*
example@example.com
Address of Noise*
Description of Noise*
Experience has shown that in order to maintain harmonious relationships, it is better to contact the person causing the noise before asking the City to become involved.
Have you attempted to resolve this matter yourself prior to contacting the City?*

YesNo
If you answered ‘Yes’ to the previous question, what was the outcome?

Declaration
I wish to lodge a noise investigation request in relation to the details I have provided and acknowledge that:
- The City is subject to the Freedom of Information Act 1992
- All noise complaints will be dealt with in order of priority
- Should legal action be necessary I may be required to give evidence in Court
- The City will not commence investigation of this request if a completed noise log sheet is not attached.
Attach completed Noise Log Sheet*

Cancelof
Signature

Clear
Date*

DayMonthYear
Should be Empty:

Noise Investigation Request Form

Your Contact Details

Declaration