Form Runner

Your browser does not appear to support JavaScript. You may want to try one of the following:

Turn on JavaScript in your browser if it supports it.
Use a browser that supports JavaScript.
Try a JavaScript-free version of this page, if made available by the application author.

There's a problem with this form.

Sorry, something's gone wrong with this form.

This may have happened because the form was open for a long time.

We haven't saved any personal information you entered. We do this for your security.

Try loading the form again:

in Chrome, Safari or Internet Explorer: hold down the Ctrl key (Command on iOS machines) and click the reload button on the toolbar
in Firefox: hold down the shift key and click the reload button on the toolbar

If this doesn't work, please use the website feedback form to tell us there's a problem.

Help

$xforms-template-label$$xforms-template-help$$xforms-template-hint$$xforms-template-label$$xforms-template-help$$xforms-template-hint$

Fill in this form to ask us to contact you to help sort out an issue with your Citizen Portal account. This is the account used on:

our waste forms, such as report a missed collection
your housing benefit account (if you require assistance with your online letters account email statement.online@bristol.gov.uk)

We aim to contact you within 1 working day.

What were you trying to do?Create an accountSign into an accountOtherYou need to tell us what you were trying to do

Describe the problemYou need to describe the problemTry to give us as many details as possible

Screenshot of the problem Remove File

Maximum file size is 10MB. You can upload images, pdfs or documents.

Your nameYou need to tell us your name

Your email addressYou need to tell us your email addressWe need the email address you used to create your account.

Read our privacy statement to see what we do with your personal information.

5dc68249366538f4da0249ae3f5675e75dbb27e1

Confirm

Found draft

Found drafts

Existing form data found

Form Submitted

Review Form Validation Messages

Unable to complete action

Confirmation