THE HIGHLAND COUNCIL

COMMUNITY SERVICES

REQUEST FOR ASSISTED BACKDOOR REFUSE COLLECTION

The Council will provide an assisted backdoor collection where the householder can demonstrate that he/she is physically unable to present his/her bin and no other permanent resident at the address can assist. To be considered for collections from your property please complete this form and return to the relevant address overleaf
Name ……………………………………………………………………………...
Address: ……………………………………………………………………………
Postal Code: ………………………...
Telephone Number: …………………………………………………………………
Reason for Application
Please provide brief details of why you think you should have an assisted collection:
Do you live with an able bodied person? Yes/No(delete as appropriate)
Please tick which bins you would like collected:-
GREEN BIN ___BROWN BIN ___BLUE BIN ___
FOOD WASTE BIN ___
Where would you like your bin(s) to be collected from: e.g. rear of house at door
…………………………………………………………………………………………

Data Protection – the information you have supplied will be used to assess whether you qualify for an assisted backdoor refuse collection service and any procedures related to this.

This data will be maintained in accordance with the Data Protection Act and will not be passed on or sold to any other organisation without your prior approval unless this is a legal requirement.

Signature ...... Date ......

PLEASE RETURN FORM TO:

INVERNESS / B&S / NAIRN / CAITHNESS / ROSS-SHIRE / SUTHERLAND / LOCHABER / SKYE & LOCHALSH
Community Services / Community Services / Community Services / Community Services / Community Services / Community Services / Community Services / Community Services
33 Lotland Street / Unit 4C,
Dalfaber Ind. Estate / Balblair Depot / Market Square / Council Offices,
High Street / Drummuie Offices / Carr’s Corner Ind. Estate,
Lochybridge / Broom Place,
Dunvegan Road
Inverness / Aviemore / Nairn / Wick / Dingwall / Golspie / Fort William / Portree
IV1 1ST / PH22 1ST / IV12 4LT / KW1 4AB / IV15 9QN / KW10 6TA / PH33 6TL / IV51 9HL
Office Use Only
Approved by……………………………………..………….. Date…………………………………………….
Rejected by….………………………………………..…….. Date………………Letter sent…………………