Online Form - Rubbish and Recycling Service

Ratepayer, Tennant or Agent's Contact Details

Ratepayer or Agent Name*

Postal Address

Postal Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number

Business Hours

Mobile

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 below.

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

+ 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*

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

Name*

Signature*

Date*

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