Rubbish and Recycling Service » Shire of Dalwallinu

Ratepayer, Tennant or Agent's Contact Details

Ratepayer or Agent Name*

Postal Address

Postal Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number

Contact Number

Business Hours

Mobile

Email

Property details where bin changes are required if different from above

Property details where bin changes are required if different from above.

Ratepayer/s

Property Address

Street Address:

City:

State:

Post Code:

Country:

Service/s Changes

Is this a new property?

YesNo

Please write a number of services required/removed in table below

Please write a number of services required/removed below.

Service: Rubbish Domestic

Services

Rubbish Domestic - Once a week service (Bin Type: 240L)

Rubbish Domestic - Once a week service - Number of bins required

Rubbish Commercial - Twice weekly service (Bin Type: 240L)

Rubbish Commercial- Twice Weekly week service - Number of bins required

Recycling - Twice monthly service (Bin Type: 240L)

Recycling - Twice monthly service - Number of bins required

Bulk Recycling (Bin Type: 3m³)

Bulk Recycling - Number of bins required

Services - After Table - Text

+ Under the Waste Avoidance and Resource Recovery Act 2007 all properties must have a least one rubbish and recycling service.
** Please complete Replacement Bin/s section below

Replacement Bin/s

Has your rubbish/recycling service gone missing and needs replacement?

YesNo

The rubbish/recycling service has been damaged and needs repairs/replacement?

YesNo

Details of Damage/Additional Comments*

Acknowledgement Text

I acknowledge that I am the Ratepayer or Agent of the property and accept there maybe fees for the above changes

Name*

Signature*

Date*