Civic Centre
Postal Address
Cnr Lyttleton & Lloyd Street
Castlemaine
Office hours: 9am – 5:00pm
PO Box 185
Castlemaine 3450
NEW RUBBISH/RECYCLING SERVICE
REQUEST
Please complete and return to the Council offices
for processing
Telephone: (03) 5471 1700
Facsimile: (03) 5471 1749
Email: info@mountalexander.vic.gov.au
Telephone Enquiry: ☐
Property Address:
Counter Enquiry: ☐
Email Enquiry: ☐
Click here to enter text.
Name of Requester: Click here to enter text.
☐ Owner
Are you the Owner or Tenant
☐ Tenant
Mailing Address: Click here to enter text.
Current Phone No: Click here to enter text.
Council Property ID No: Click here to enter text. Property Assessment No: Click here to enter text.
Rubbish Bin Required (please mark box)
☐
80 litre capacity
140 litre capacity
☐
By minimising the quantity of waste produced you will be helping the environment by reducing greenhouse gases
and saving valuable landfill space. A small rubbish bin also saves you money – the waste charge for utilising a
smaller 80 litre bin is $130 per annum less than the 140 litre bin.
Recycle Bin Required (please mark box)
240 litre capacity
☐
140 litre capacity
☐
Residents may choose to opt for the smaller 140 litre recycle bin for convenience. However, the waste charge
remains the same for both sizes of recycle bin.
Is this property a new residence?
Yes ☐
No ☐
If Yes, please attach copy of
Certificate of Occupancy
Please indicate the date you wish the service to commence Click here to enter a date.
(allow 7-10 working days for delivery)
Services will commence on the first collection day after the date requested.
IF REQUESTER IS NOT THE OWNER OF THE PROPERTY PLEASE OBTAIN PERMISSION FROM THE OWNER
FOR RUBBISH/RECYCLING SERVICE TO BE INCLUDED IN RATES CHARGES.
I, Click here to enter text. Of Click here to enter text. Being the owner of Click here to enter text.hereby agree to pay
rubbish and recycling charges for the aforementioned property.
Signed : _____________________________
Date: Click here to enter a date.
Privacy Notification: Mount Alexander Shire is collecting the personal
information on this form for the primary purpose of providing a rubbish and
recycling service. The information will be shared with council staff
responsible for the administration of this process and the Council’s
rubbish contractor to enable service delivery. The form will be disposed of
in accordance with the Public Records Act. Access/amendment of this
information can be made by contacting Council’s Privacy Officer on
5471 1700 or PO Box 185, Castlemaine 3450.