New Tenant
Replacement Bin Report Form
Enquiries:
Customer Service Staff
Phone: 9401 0555,
In reply please quote File No. : SU 151117
Fax: 9409 9842
**Please note: This report must form must only be used for the replacement of bins from a previously occupied
premise.
Name:
Business Name (if applicable):
Address:
Postcode:
Phone Number:
Mobile:
Replacement bin required:
Household Garbage Bin (120L – Green lid)
Household Recycling Bin (240L – Yellow lid)
Commercial Garbage Bin (240L – Maroon lid)
Details (Other relevant circumstances)
Declaration
I, the undersigned, make this declaration in the belief that it is true and correct and that a person making a false
declaration is liable to the penalties of perjury.
Signature:
Date:
Office Use Only
JJR Notified:
Officer:
Date:
Database Entered:
Officer:
Date:
Privacy Statement: Council will only use the personal information provided by you for the purposes for which it was collected and any
other authorised use. Council will never reveal personal information it collects to third parties, unless disclosure is required or authorised
by law.