Assisted Waste Collection Request

 
Please complete this form to request an assisted waste collection.
 

The current criteria for an assisted collection are as follows:

1. The applicant must be either elderly or have a disability and:

2. Must not have another able bodied person over the age of 16 permanently residing in the same property.

Do you consider yourself to be elderly or to have a disability? *
Do you consider yourself to be elderly or to have a disability?

How many people currently live as permanent residents at the above property? Please note this does not include university students, other family or visitors.

 

Containers to be collected (please tick applicable boxes)

Rubbish:
Rubbish:
Orange Recycling:
Orange Recycling:
Green garden:
Green garden:

By completing this form I agree that I meet one of the above criteria and no able bodied people over the age of 16 are permanently resident in the property. I am therefore eligible for an assisted collection. I further understand that if I have provided false or misleading information the service could be withdrawn. I also understand that I will be required to renew this eligibility every 2 years.

Please confirm you have read and understand this information *
Please confirm you have read and understand this information

Upon receipt of your application, we will assess your circumstances and contact you to confirm the outcome of your application.

eForms by AchieveForms

Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP

Tel. 01234 267422