Customer Request Form

Customer Request Form
If your request is urgent, or you’ve noticed a potential danger or health risk, don’t use this online form. Instead, contact Council directly via phone.

In an emergency call Triple Zero (000).
Type of Customer Request*
STOP!

Streetlight faults are to be reported to Essential Energy directly.

Click here to redirect to the Essential Energy Website.
STOP!

To report a missed bin collection please call Council on 6368 2104
STOP!

Please visit the barking dogs page on our website for information
Please note, only the property owner can contact us to change the postal address.
Please note that the Mid Western Highway and Millthorpe/Orange Road are NSW State Roads and are managed by the NSW Government. To report an issue on a State Road please visit the Transport for NSW Website.

Facility
Locality
Location Details
Please provide specific details e.g. for a road, include the km from an intersection or exact address etc.
Geolocation - Zoom in and double click on location to place the red pin
Details*
Type of bin/s required

Recycling (yellow lid)General Waste (red lid)
Details of Bin Request

New Service - fees will apply, please refer to our Fees and Charges on our websiteAdditional Service - fees will apply, please refer to our Fees and Charges on our websiteReplacement - stolenReplacement - split or damagedRepair - lid/pins/wheelOther
Please provide additional information on any damage or repairs needed*
Provide details of your enquiry*
Photo/s

If photo is of road, please provide photos of landmarks to identify location
Cancelof
Address of Subject Property*

Street Address

Assessment Number (if known)

LocationState / Province

Postal / Zip Code
Current Postal Address*

Address

Street Address Line 2

LocationState

Postal Code
New Postal Address*

Address

Street Address Line 2

LocationState

Postal Code
Your Contact Details
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Residential Address*

Street Address

Street Address 2

Town/VillageState

Post Code
Please verify that you are human*
Should be Empty:

Your Contact Details