Community Mowing Service application form

COMMUNITY MOWING SERVICE APPLICATION FORM

Council relies on the community spirit of its residents to help maintain the character of the area, e.g. the mowing of nature strips. We realise that not all our community is able to carry out this work; therefore Council provides a service only to those who meet eligibility requirements. Please be advised that g rass clippings are not picked up as the mowers are not fitted with catchers.

Please complete all answers and upload supporting documentation. The completed questionnaire will be referred to the Parks and Recreation department for assessment and you will be notified in writing, as to whether you are to be included on the list or not.

If you require any further information regarding this matter, please call Council’s Customer Service Centre on 9911 6555.

Questionnaire

Name of person making inquiry *

Name of person requiring the service *

Address of person requiring the service *

Postcode: *

Phone (h):

Phone (w):

Phone (m): *

Date of birth *

Email *

Marital Status *

De-FactoSingleMarriedWidowed

Do you have a physical disability, mobility or health problem that prohibits you from mowing the nature strip? *

YesNo

Please provide details *

Medical certificate: *

Browse

Do you live alone? *

YesNo

If you do not live alone, does the other person(s) have a disability? *

YesNo

Please provide documentation *

Browse

Do you have family who can assist you with the mowing? *

YesNo

Do you presently have a lawn on your property? *

YesNo

Who currently mows the lawn on your property? *

Are you economically disadvantaged? *

YesNo

e.g. is your only means of support an aged or disability pension?

Who currently mows the nature strips? *

Are you renting the property? *

YesNo

What area of the nature strip requires mowing? *

Front onlyFront & Side (corner block)Front, Side and Back (Corner block with rear lane)

Any other comments?

Privacy of Information

The information provided in this questionnaire will only be used by Council to assess your eligibility for theCommunity Mowing Service. NO information is sold or given out. This information will be kept private andconfidential.