To ensure your application is completed, please read the following information:
* Please ensure you have entered a valid postcode or street.
Please complete this form to renew or request an assisted bin lift.
If approved, you will receive the assisted lift service for 12 months.
We will contact you in advance of the end date to find out whether you wish to renew this.
Please tick the appropriate boxes
The assisted collection will cease on this date unless you inform us otherwise.