Wheelie Bin Collection Services Form

Wheelie Bin Collection Services Form
Privacy Notice: Rockhampton Regional Council is collecting the personal information you supply on this form for the purpose of processing
your application. Council is authorised to do this under the Local Government Act 2009. Your personal details will not be disclosed to any
other person or agency external to Council without your consent unless required or authorised by law.
This form is to be completed by the property owner for new, amended or cancelled bin or collection services. All changes will be
applied to the next rates notice and must be requested by the property owner. Refer to the Waste and Recycling Collection
Services Policy and Procedure for further information.
Customer Details
Contact name/s:
First
Middle
Last
Property address:
Postal address (if different):
Preferred contact number:
Email:
Declaration
I submit this form declaring that the details are correct to the best of my ability.
Name:
Signature:
Date:
Wheelie Bin and Collection Details
□ Domestic property
Note: It is a legal requirement for a domestic property to have a minimum of
one waste bin collected once per week and one recycling bin collected once
per fortnight.
□ Commercial property
Note: There is no legal minimum or maximum number of bins or servicing
frequency for a commercial property except that waste removal is adequate
to prevent a nuisance/hazard.
Start date:
□ New application
□ Change bin/s or service/s
□ Cancel service
Existing
Waste
Recycle
Existing number of bins
Required
Waste
Recycle
Required number of bins
Required number of weekly collections
Existing number of weekly collections
(commercial only)
Number of days per week commercial service is required (please select which day/s a commercial service is required. Note: domestic
premises can only be serviced once per week on the designated day of service.)
Mon
Tue
Waste Collection
Wed
Thu
Fri
Mon
Tue
Wed
Thu
Fri
Recycling Collection
Fees and Charges
New, amended or cancelled wheelie bin or collection services must be requested by the property owner and will be applied
to the next rates notice. For a full list of fees and charges please refer to Council’s Fees and Charges Schedule.
RRWR02 | V1 | Approved 1 February 2016
File 169 – zztFRW Dispatch – QDAN 480 v.4 – 31.9.2 – 2 years
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