1 Start 2 Complete In order to qualify for a larger bin, there must be 6 or more people living permanently in the property. Name * Address * Post code * Telephone number or email address * How many adults live in your household on a day to day basis? * 1 2 3 4 5 more How many children live in your household on a day to day basis? * 0 1 2 3 4 5 more Evidence * Please provide proof of where you live and the number of residents in your household, including children. We can only accept documents from within the last 12 months. For example, copies of bank statements, child benefit or tax credit award letters, or similar.Files must be less than 6 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Any additional evidence: Please add any other evidence here (optional).Files must be less than 6 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Any further evidence to add? (Optional)Files must be less than 6 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. Please explain your reasons for needing a larger grey wheelie bin * Please tell us which of these you use: * Brown recycling wheelie bin Blue recycling wheelie bin Garden green wheelie bin None If you don't have these bins would you like to receive them? * Yes No Not applicable If you don't use these bins, tell us why: How often do you put your recycling out for collection? * Every collection Less often Never If you have lots of extra recycling, would you like to request larger recycling bins? * Yes No Tell us about your waste * Please tell us what materials you are putting into your refuse bin. Please detail specific materials rather than general waste/household waste. Declaration * I certify that all information given in this form is true and correct. I understand that false information will result in the removal of any larger bin provided which will be replaced with a 180 litre bin. I will notify Selby District Council, should there be any change in the circumstances relating to my application. Yes No
