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diff --git a/templates/web/bromley/waste/enquiry-problem.html b/templates/web/bromley/waste/enquiry-problem.html
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+[% PROCESS waste/enquiry.html
+ title = 'Report a problem'
+ field_options = [
+ { value = 'Gate not closed', label = 'A gate or enclosure wasn’t closed after the collection' },
+ { value = 'Waste spillage', label = 'Bin contents were spilled during the collection' },
+ { value = 'Bin not returned', label = 'A bin wasn’t returned after the collection' },
+ { value = 'Crew behaviour', label = 'There was a problem with the crew’s behaviour' },
+ { value = 'Wrongful removal', label = 'Something was wrongly removed during the collection' },
+ { value = 'Damage to 3rd party', label = 'Someone else’s vehicle was damaged' },
+ { value = 'Damage to Property', label = 'My property was damaged' },
+ { value = 'Failure to deliver bin', label = 'My bin was not delivered' },
+ ]
+%]