Report a dangerous building or structure [Done]

Your details
2. Your name
  1. Title*
  2. Title*
  3. First name*
  4. Last (family) name*
3. Your email
  1. Email address
  2. Confirm email address
4. Phone number
Your address
4. Postcode*
6. Select your address*
7. Address
  
  You have selected:
  
  Address
About the dangerous structure
1. Street details
  2. Which street is the structure on?
  4. Select a street
  5. Which street is the structure on?
    
    You have selected:
    
    Street
2. Where is the dangerous structure?*
  Up to 2000 characters
3. Can you tell us what the problem is?*
  Up to 2000 characters
4. Is this a Council property?*