Skip to main content Skip to page navigation

Pay
Report
Apply
Have your say
Book

Home
Forms
Request help with your rubbish bin collection

Request help with your rubbish bin collection

Your browser does not appear to support JavaScript. You may want to try one of the following:

Turn on JavaScript in your browser if it supports it.
Use a browser that supports JavaScript.
Try a JavaScript-free version of this page, if made available by the application author.

Session gone

Unfortunately your session is gone. You will be redirected to the home page.

Session gone

You will have to re-login once again to be able to continue editing yForms.

Help

Go to Content

Request-Bin-Collection

RequestBinCollection

* Required information

Show us where you need help

Enter an address, or
Right click on the map to add a location

GIS map rating unitRating Unit Checkbox

Location

NZTMX

NZTMY

Rating unit

Address ID

Location*

Please select a location

ServiceCategoryID

IncidentCategoryID

ObjectCategoryID

Who requires help with their bins?

First nameFirst name is required

Last nameLast name is required

PhonePhone number is required

Why is the help needed?Reason is required

Attach supporting documentation (e.g. medical certificate)

Drag files here or use the button below. Remove File

Select File

Maximum file size: 16 MB. Supported file types: csv, doc, docx, gif, jpeg, jpg, pdf, png, ppt, pptx, rtf, txt, xls, xlsx.

What other community support is being provided (e.g. cleaner, gardener)?

Who can we contact if we're unable to contact the occupant?

First nameFirst name is required

Last nameLast name is required

PhonePhone number is required

Terms and conditions

Acceptance conditions

In providing the assisted rubbish collection service, neither the Council nor the Councilvs contractors will be liable for any damage or loss that may be incurred as a consequence of providing this service.
The contractor shall have unimpeded access, for the purposes of bin collection, to the property.
An accessible location for the rubbish wheelie bin shall be provided by the applicant. The location shall be subject to approval by the collection contractor and shall not be shifted without the approval of the collection contractor.
Any threatening and/or inappropriate behavior (human or animal) to the collection contractor will lead to the service being withdrawn.
If you no longer require this service contact the Council on (03) 941 8999.ã

Declaration

I confirm there is no one within the household who is capable of assisting with rubbish collection.
I confirm there is no community support being provided to the household that can assist with rubbish collection.
I authorise Christchurch City Council to complete all the checks required to verify that I should receive an assisted rubbish collection and if it is feasible for this service to be provided.

Terms and conditionsI have read and agree with the terms and conditionsConfirm you have read and agree to the terms and conditions

Would you like us to keep you up to date?

Yes, please keep me updated on progress

9f4304f7-0bdb-43f2-b39f-0d57a8feebb7

Confirm

Form Submitted

Review Form Validation Messages

Unable to complete action

Confirmation

Insert Above
Insert Below
Move Up
Move Down
Clear Line
Remove Line

Need help?

Your Draft Number

Please note down your draft number:

H9Q00115705

You will need your draft number and your email address to retrieve your draft application.

Contact us

03 941 8999

Visit a service centre

Send us an email

Resume a draft
Pay a bill

Christchurch City Council websites

Christchurch City Council
Christchurch City Libraries
Christchurch Art Gallery
Akaroa museum

About
Privacy
Terms
Accessibility

About
Privacy
Terms
Accessibility