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Online Forms

Bin Request Application

This form must be completed by the owner of the property, or an authorised party (i.e. Real Estate Agent) only.

Property Details

Applicant Name / Company Name*This field is required.

* Required Field.

Is the applicant the property owner or the property owners' authorised person/company?

YesNo

Please ask the property owner or authorised person/company to complete this request. As this application may incur charges to the property owner, only the property owner or their authorised person/company (ie. Real Estate Agent) may apply for repairs or replacement bins.

Is the Owner Name as above?*This field is required.

YesNo

Please enter the Owner Name: *

* Required Field.

Is the Occupier Name as above?*This field is required.

YesNo

Occupier Name: *

* Required Field.

Property Address

Street Address:*

* Required Field

City:*

* Required Field

State:*

* Required Field

Post Code:*

* Required Field

Country:*

* Required Field

Contact Number*This field is required.

* Required Field.* Invalid number of digits, please include area code if landline

Email*This field is required.

* Required Field.* Please enter a valid email address

Lot Number (if known)*This field is required.

* Required Field.

Assessment Number (if known)

Service Update

How many Rubbish Bins are currently kept at the property?*This field is required.

* Required Field.

How many Rubbish Bins will be kept at the property following this request?**This field is required.

* Required Field.* Please choose a valid number

How many times a week do the rubbish bin/s get collected (emptied)?*This field is required.

* Required Field.* Please choose a valid number

How many times a week would you like your rubbish bin/s to be collected following this request?**This field is required.

* Required Field.* Please enter a valid number

If more than one collection per week, will all bins be emptied at each collection?

YesNo

Please explain how many bins are to be collected each collection. ie 1 x Bin Monday & 2 x Bins Wednesday: *

Request

Does the Bin Require Repairs **This field is required.

* Required Field.

New Bin - please select the option that best describes your situation*This field is required.

* Required Field.

New Bin Sticker*This field is required.

MondayTuesdayWednesdayThursdayFridayNo Sticker Required

Please Provide Reason for Requiring New Sticker*This field is required.

* Required Field.

*

*Please see the Shires current Fees and Charges.

Please type your name below to signify that you agree that all information given above is true and correct at the time of submission*This field is required.

* Required Field.

Type the code from the image:

The code you entered is not valid.

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Kununurra Office

20 Coolibah Drive, Kununurra
(08) 9168 4100
(08) 9168 1798
mail@swek.wa.gov.au

Postal Address

Po Box 614, Kununurra WA 6743

Wyndham Office

65 Koolama Street , Wyndham
(08) 9161 1200
(08) 9161 1295
mail@swek.wa.gov.au

Postal Address

Po Box 614, Kununurra WA 6743

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