SKIP BINS ON PUBLIC LAND APPLICATION FORM

NOTE: Be advised that Council requires approximately 5 working days to process the application. For extensions of current appraisals a new application is required to be lodged.

Fees & Charges (GST Inclusive) – No fee or notice is required if skip is located on private property. Any other fees are as per Council's Fees & Charges.

State Roads (These applications need to go through (RMS):
Concord Road, Patterson Street (Part), Gipps Street (Concord), Queens Road, Great North Road (Part), Ramsay Road, Lyons Road, Victoria Road, Bayswater Road, Marlborough Street, Westbourne Street

For further information or questions regarding this form, please contact Council via 9911 6555.

Applicant Details

Company Name

Surname *

First Name *

Address *

Suburb *

Postcode *

Contact number: *

Email *

Waste Container details

Name of Supplier: *

Proposed Location: *

Address of skip bin: *

Start of Licence date *

End of licence date *

Applicant declaration

I have received a copy of Council’s Skip Bins on Public Land – Terms and Conditions, and agree to comply with all rules and conditions. I understand it is my responsibility to ensure the Skip Bin is covered by Public Liability Insurance to the value of $20 million dollars.

Applicant Signature *

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Date signed *

DAMAGE DEPOSIT/ BOND APPLICATION FORM

Use this form when making payment for a damage deposit or bond

Property Details

Property Address:

Lot:

DP:

SP:

Applicant details (to whom the future refund will be released)

Surname:

First name:

Email:

Contact phone number:

Postal Address:

Refund method

I wish to nominate the following method of refund:

ChequeEFTCredit Card* (Not available for all refunds)

* Refund to the same credit card is the default method available only for damage deposit/bonds paid via Council’s eServices online portal. The card must be valid and current at the time of refund.

EFT account details

EFT account name

BSB number

Account number

1. I hereby state that the above information is true and correct;

2. I am the person responsible for making this damage deposit/bond payment and am the authorised person to receive the refund;

3. I will advise the City of Canada Bay Council of any changes to my address; bank account; or credit card, and understand that failure to update these details may delay payment of the refund at a later date.

Declaration

Signature

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Date

Rams - LocalGovApp - Store Waste Container in a Public Space

(For Internal Use Only)

SkipBin