Government and local services

Complaint with photo

Report fly-tipping, graffiti or a broken light with a photo. Each type asks its own question. This form uses FillKite Pro.

PRO · File upload · Logic

Complaint with photo

Fill it in and press the button to see how it behaves. Nothing you type is saved or sent.

What is in this form

What are you reporting? (required)
Light number (on the pole)
Where is it? (required)
Anything else?
Email (optional) (required)

How the conditional logic works

This form shows or hides fields as people answer, so everyone sees only what matters to them.

“Light number (on the pole)” appears only when “What are you reporting?” is “A broken street light”.

What FillKite Pro adds

This form uses file upload, logic, which need FillKite Pro. You can try it here for free. The download works on a site that has FillKite Pro.

Questions

About this form

Is the complaint with photo form free?

You can try it here for free. The form uses file upload, logic, which need FillKite Pro, so the download works on a site that has FillKite Pro.

Is anything I type saved?

No. This demo runs in test mode: FillKite checks your answers like a real form, but nothing is saved and no email is sent.

How do I use this form on my site?

Install FillKite, download the form with the button on this page, then go to FillKite → Import → From a FillKite file and choose the file. After importing, open it in the builder, change anything you like and add it to a page.

Does this form use conditional logic?

Yes. 1 field or notice shows only when earlier answers call for it. “Light number (on the pole)” appears only when “What are you reporting?” is “A broken street light”.

What fields does it have?

It has 5 fields: What are you reporting?, Light number (on the pole), Where is it?, Anything else?, Email (optional).

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FillKite Pro

Do more with every form.

FillKite Pro adds steps, uploads, live totals, quizzes, polls and more to the same builder.