Application New Bin Service

Application New Bin Service

for a Currently Unserviced Residential Property
Applicant Name*

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

Street Address

Street Address Line 2

CityState

Postcode
Billing Address is the same as above*

YesNo
Billing Address

Street Address

Street Address Line 2

CityState

Postcode
LOT/DP
An interim or final occupation certificate is required prior to commencement of new bin service. If you do not have either of these certificates your application will be rejected and you will be advised.
Interim or Final Occupation Certificate*

Cancelof
Residential Status*

Property OwnerTennantOther
New bin services are added to the properties annual rates charges (see fees and charges) and must be approved by the property owner. If you are not the property owner you must attach a consent letter signed by all owner/s and submit with this application.

No payment is required with this application.

Delivery of bins can take up to 10 business days once application is processed.
Owner/s Consent

Cancelof
Application Declaration
1. I hereby agree to pay Council for the above service(s).
2. I acknowledge that charges may increase annually and will be publised on the Council's website under Fees and Charges.
3. I acknowledge that I must advise Council in writing of any cancellations or changes to services at least 7 days prior.
Signature*

Clear

Purpose of Collection:	For applying for waste and recycling services.
Intended recipients:	Council staff and approved contractors of Council.
Supply:	Voluntary. If you do not provide all details requested, Council may be unable to, or limited in its abililty to supply the requested services.
Access / Correction:	Contact Council Customer Service Team on (02)6226 1477 to access or correct this information.
Storage:	Contact Council Customer Service Team on (02)6226 1477 to access or correct this information.

Privacy and Personal Information Protection Act 1998

Compliance with Section 10

This information is required to ensure that Council can communicate with you in relation to the supply of waste services. The information is private and confidential and Council must not disclose the information to any person or body if it is not directly related to the purpose for which the information was collected.

If you have a complaint about the use of your personal information, contact the Yass Valley Council Public Officer. The information contained or referred to in this form may be corrected and updated by you, by contacting the Council.

Privacy Statement

You will need to provide personal information to Yass Valley Council in respect of this application. Council is required under the Privacy & Personal Information Protection Act 1998 (PPIPA) to collect, maintain & use your personal Information in accordance with the Privacy Principles & other relevant Requirements of the PPIPA.

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