Waste Family assessment request
Name
Collection Address
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Contact Number
Additional Information
No. in Household
Is the request being made because of young children in nappies?
Yes
No
Is the request being made due to disability or medical condition?
Yes
No
Do you have a brown bag that you use for paper and cardboard?
Yes
No
Do you have a blue bin that you use for plastic bottles, tin cans, glass bottles and jars?
Yes
No
Do you have a green bin that you use for garden waste?
Yes
No
Do you squash and break down as much waste as you can in your grey bin?
Yes
No
The resident agrees that the information given is correct and that they will allow the council to undertake an audit. Should the additional grey bin be required they are aware and agree that the council will carry out periodic reviews to ensure that the additional bin is still required.
Confirm above statement is understood
Confirm above statement is understood
The resident agrees that the household is fully participating in recycling schemes provided
The resident agrees that the household is fully participating in recycling schemes provided
The resident agrees to inform the council should they no longer require the additional bin
The resident agrees to inform the council should they no longer require the additional bin
The resident is aware that there is a charge of £30.00 (inclusive of delivery) for the additional grey bin. Enveco will be in contact with the resident.
Confirm the above statement is understood
Confirm the above statement is understood
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Submit