Repair/Replace Bin request form

NOTE: Your damaged wheelie bin must be placed kerbside before you submit this form to Council.

Property details

Property address - street number *

Property address - Street name *

Suburb *

Applicant's name *

Applicant's email *

Daytime phone *

Company name (if applicable)

Property owner's name (if known)

Repair / Replace bin

Note: Remember to place your damaged wheelie bin kerbside BEFORE submitting this form.

Damaged bins

Damaged waste bin (red/green lid)Damaged recycle bin (yellow lid)

Missing bins

Missing waste bin (red/green lid)Missing recycle bin (yellow lid)

How is the waste bin damaged? *

How is the recycle bin damaged? *

Is the bin kerbside? *

YesNo

What date will the bin be kerbside? *

Information privacy statement

We are collecting your information for the purpose of processing your application for a domestic bin repair or replacement at an individual dwelling. Your personal information is used for the purpose of delivering services and carrying out Council business. It is handled in accordance with the Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your information will not be given to any other person or agency unless you have given Council permission or the disclosure is required by law.