Most fields on this form are required fields. Optional fields are noted as Optional.

Your Details


Please enter your preferred name

Please Enter Your Surname

Optional - Please enter the name of your organisation here

Please enter your post code

If this submission is on behalf of an organisation, please enter the name of the person we are to contact here.

Please enter your email address so that we can keep you updated.

Optional

Optional

Submission


Please enter which designation this submission is for

Maximum Characters 3000. If you wish to make a longer submission please attach as a separate file below, and state 'as attached'

Limited to 3000 Characters. If you wish to include more information, please attach below and state 'as attached'

If you wish to upload more than one document, either zip it to send, or email them to submissions@selwyn.govt.nz Include your name on the document so that we can match it to your submission. Files must be under 10MB and Word/PDF format.

Please add any Reports or Maps that you want included with your submission here. If you wish to upload more than one document, either zip it to send, or email them to submissions@selwyn.govt.nz Remember to include your name so that we can match the document to your submission. Files must be under 10MB and Word/PDF format.

Hearing Options

Do you wish to be heard in support of your submission?
If you choose yes, you can choose not to speak when the hearing date is advertised.
If others are making a similar submission would you consider presenting a joint case with them at the Hearing
You can change your mind once the Hearing has been advertised, but we need to know if we need to contact you or not.

Privacy statement

The personal information you provide in this form will be collected, held and protected by Selwyn District Council in accordance with our Privacy Policy and the Privacy Act 2020. Our Privacy Policy explains how we use and share personal information in relation to any interaction you have with Council, and how you can access or correct your information at any time.

You can read the full policy at selwyn.govt.nz/privacy.

We will use the email address you provide to send communications directly related to this form or application. By submitting this form, you consent to receive those communications by email. If you require a hard copy, please email ContactUs@selwyn.govt.nz, visit our Service Desk Team or call 0800 SELWYN (735 996).