ALL FIELDS MARKED WITH A * ARE REQUIRED ENTRIES
Street Collection Return Form
Please Note:
This form cannot be submitted on-line.
YOU MUST BE LOGGED IN TO SAVE AND SUBMIT THIS FORM
You are not currently logged in to My Profile, however you may
Complete the form and obtain a printout at the end
If you log in you may
Pre-populate certain details from your profile account
Save your form at any time and complete it later
New users click here to
, existing users click here to
Street Collection Return Form
This form is used to provide information to the Council about what was collected during a permitted street collection.
Details of the person to whom the permit was granted
*
Forename
Middlename/Initials
*
Surname
*
Building/house name/number
*
Street
*
Town
*
County
*
Postcode
*
Tel Number
(include area code)
*
Email address
Fax
Fields marked '*' are required entries.
Page 1 of 7
1
Print blank form
Clear all
Help
P18752
Close Window