Page Content Please note: The fields marked * are mandatory.Street Number*Please enter a valid numberStreet Name*Please enter the required information.Unit NumberPlease enter a valid numberRoll Number*Please enter a valid numberFirst Name*Please enter the required information.Last Name*Please enter the required information.Phone*Please enter a valid phone numberEmail*Please enter a valid emailCustomer NumberPlease enter a valid numberContact Preference* -Select- -select one- Phone Email Please enter the required information.February PaymentPlease enter the required information.Date of SecondMarch PaymentPlease enter the required information.April PaymentPlease enter the required information.July PaymentPlease enter the required information.August PaymentPlease enter the required information.September PaymentPlease enter the required information.October PaymentPlease enter the required information.Additional Information Please enter the required information.Terms of Service*YesPlease enter the required information.Status -Select- Open Processing Escalated Closed Please enter the required information.Attachment 1Attachment 2Attachment 3 *Please type the letters appearing in the image above. Why do I need to do this?Please type the letters appearing in the image above. Submit Reset Cancel PrintPrivacy StatementPersonal information is being collected under the authority of the Municipal Act. The information will only be used to communicate with you regarding your inquiry. Questions about this collection may be directed to Service Brampton by calling 311 (within Brampton city limits) or 905.874.2000 (outside city limits). Please review the City’s Privacy statement for more information.
