Website accessibility contact form InstructionsThis form will take approximately 5 minutes to complete.Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later.The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do. Your data privacy Before completing this form please read our general Privacy Policy (opens in a new window). This explains why we ask for your data, what we do with it and how long we will keep it. It also explains how you can find out what data we hold about you and how you can ask us to delete it. Your details Title Select your title. Mr Mrs Miss Ms Mx Dr Other Other Enter your title if it is not listed above. First name * Enter your first name. Last name * Enter your last name. Email address * Enter an email address where we can write to you. Phone number * Enter a daytime phone number that we can ring you on. This can be a mobile or land line number. Request detailsGive exact descriptions to enable us to fully understand your report or request. What type of issue are you contacting us about? * Report a website accessibility issue Request information in another format Enter URL or name of page the item is on * For example, www.westsussex.gov.uk/libraries/ or Libraries. Which item are you having problems with? * Provide the item's name and/or file type. What problems are you experiencing? * Describe the difficulty you are having with the item. The relevant service will contact you to find out how it can assist. What's it to do with? * The whole website A specific page What are the details? * Describe the problem you are experiencing with the website. Enter URL or name of page * For example, www.westsussex.gov.uk/libraries/ or Libraries. What are the details? * Describe the problem you are experiencing with the page. Submitting your form Click the submit button only once. Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.
