This form should be used by any Councillor who would like to bring forward an item for consideration at a Policy Review and Development Panel. Your nameFirst name Surname Item for considerationSummary of issue Suggested panel to take item to Please select a panel-----------Regeneration and DevelopmentEnvironment and CommunityCorporate Performance Why do you think the issue warrants further consideration by the panel? Additional informationHave you raised the issue with officers/relevant organisations in the past? (optional) Main areas of concern (optional) How can the Council influence the issue / what control do we have? (optional) Any other information you would like to add to your request? (optional) SUBMIT Reset Validation Submitting form