Assisted Collection application form

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Details

Items marked mandatory must be completed

Your Data
The information you provide will be subject to rigorous measures and procedures to make sure it can't be seen, accessed or disclosed to anyone who shouldn't be allowed to see it.

For information about how Mid Sussex District Council stores and processes your data please see our privacy notice available at https://www.midsussex.gov.uk/about-us/privacy-notice/
You can apply for an Assisted Collection for your Rubbish and Recycling and / or Garden Waste, if you are physically unable to take your bins out to the edge of your property and are unable to get help from family, friends, or neighbours to do so. To apply please complete this form.
We will confirm your request for an Assisted Collection in writing
mandatory
mandatory
mandatory
PLEASE MARK AS APPROPRIATE IN THE BOXES BELOW
I require an Assisted Collection for:
 
 
Please mark as appropriate the reason you require an Assisted Collection
 
 
 
mandatory
mandatory