*	Dumping location		bushland nature strip carpark park/reserve
*	Dumping location street address
*	Dumping location suburb
*	Dumping date and time
*	Type/s of material dumped		furniture whitegoods greenwaste hazardous rubbish
	Dumper's vehicle registration
	Vehicle colour
	Vehicle make and model
	Other details about vehicle/incident
*	Do you have photos of the incident?		yes no
	Dumper's name
	Dumper's age
	Dumper's gender		male female
	Other details about the dumper
*	Your name
	Your number and street address
	Your suburb
*	Your daytime phone number
*	Other phone number
	Your email address