Fix Mooloolaba Harbour Entrance

#MakeitSafe

Mooloolaba Harbour Entrance Complaint Form

Please give your feedback about Mooloolaba Harbour Entrance below. The details recorded on this form will be passed onto Maritime Safety Queensland and the Queensland Government, as part of the campaign calling on them to fix the harbour entrance.

Details
Date*
DD slash MM slash YYYY
Time*

: Hours

Minutes

AM/PM
Location (ie. at entry, after entry, etc)*
Type of boat (ie. trawler, recreational, etc)
No. of persons on board (if known)
Details
DESCRIPTION OF EVENT (boat damaged at entry, boat boat nearly overturned, etc)
Your Details
Your Name*
Phone*
Email*
Address
Street Address City State Postcode
Include photo or video evidence
Accepted file types: jpg, png, mp4, Max. file size: 5 MB.
Max size 5MB - JPG/PNG/MP4 formats only
Comments
This field is for validation purposes and should be left unchanged.

Mooloolaba Harbour Entrance Complaint Form

Fix Mooloolaba Harbour Entrance

#MakeitSafe

Mooloolaba Harbour Entrance Complaint Form

Details

Your Details