NOTIFICATION TO ELLWASTE
MISSING OR DAMAGED BIN
Property Owner
Property Address
Property Number
___ ___ ___ ___ ___ ___ ___ ___ ___
{
Nine digit number
found on rates notice
Telephone Number
Details
Type of bin
 120L WASTE bin (red lid)
 240L WASTE bin (red lid)
 240L RECYCLING bin (yellow lid)
 Green Waste bin
 Missing bin
 Statutory declaration / lost property report from Police attached
 Damaged bin
 Please replace bin  Please replace pin from lid of bin
 Other
Notification made by
print name
date
PRIVACY NOTIFICATION
Council is collecting the personal information requested on this form for the purpose of carrying out its functions under the Local Government Act 1989. This
information will be used solely by Council, for the primary provision of its Waste & Recycling Services. Council may disclose this information to other government
bodies, Waste Contractors or where there is a legislative requirement. The applicant understands that the personal information provided is for the efficient running of
its Waste & Recycling Services, and that he or she may apply to Council for access to and / or amendment of the information. Requests for access and or correction
should be made to Council’s Privacy Officer
GANNWARRA SHIRE COUNCIL
Kerang office Patchell Plaza, 47 Victoria Street Kerang Telephone 03 5450 9333 Fax 03 5450 3023
Cohuna office 23-25 King Edward Street Cohuna Telephone 03 5456 5222
Mail PO Box 287 Kerang VIC 3579 ABN 98 993 182 937
Email council@gannawarra.vic.gov.au Web www.gannawarra.vic.gov.au
Office Use Only
 Date stamp document (18.03.009)
CS officer:
 Fax document to Ellwaste on 5456 3300
Date:
 Stamp with faxed stamp and complete details
 Send document to Records for registration
This message is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the
intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this
communication in error, please notify us immediately by telephone and destroy the original message. Thank you