Home
Search
A - Z
Domestic Refuse Collection Request Form
Please tell us if you are having problems with your dustbin
Mandatory fields have a yellow background and are marked with a "*"
Forename :
*
Surname :
*
Address :
*
Contact Telephone Number
We may need to contact you to obtain further information
Email Address
*
Nature of Problem :
Bin not emptied
Recycling Box not Emptied
Bin damaged
Recycling Box damaged
Bin missing
Recycling Box missing
Request for Pull Out and Return Service
Other (please specify)
If 'Other', Please specify
If 'Pull Out and Return', why do you think that you are eligible for this service
Request :
