Missed Service Form
(Form 5.2)
Please fill out this form if you were unable to carry out your normal scheduled clean. For example Closure, Road works.
DateTime
Service Technician: (please select)
*
Please Select
Cameron Fox
Chris Holwell
Don Mossuto
Jason Keen
OZ Bin Cleaning QLD
Oz Bin Cleaning SA
Other
Customers name / site:
*
Site address or location details:
Missed Unit Details
Bar-code No. If known
Location Details (If Known)
Reason for not servicing
*
No access - Site / Premises Closed
Known Positive COVID case
No access / Roadworks
No Access - Site Permanent closure
Other
Additional Comments
Submit
Should be Empty: