IWC eForms
All fields marked with a * are required entries

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Application for an Assisted Waste & Recycling Collection
If not submitting online -

Please complete all sections and sign the declaration. Once completed please return to:-

Waste Management
Contracts & Procurement
County Hall
Newport
Isle of Wight
PO30 1UD  

If this form is completed electronically you may be required to sign a copy at a later date.

  All data will be used in line with the principles of the Data Protection Act 1998 for Council business only.
Your Details
 * Title other title
(please specify)

* Forename
Middle name/Initials
* Surname
* Building/house name/number
* Street address
* Town name
County
* Postcode
*  Telephone number
(include area code)

Email address
* Are you registered disabled?
* Please give an indication of why you require an assisted collection 


If submitting online, please email copies of documentation to support your application to [email protected] or send to:

Waste Management
Contracts & Procurement
County Hall
Newport
Isle of Wight
PO30 1UD 

Please quote the reference number you will be provided with upon submission of the form with any correspondence.

Suitable documents are as follows: attendance, disability or mobility allowance, sickness benefits etc. or medical certificate issued by a doctor.
  

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