Application for Registered
Accessory Apartments
The County of Dufferin will provide bag tags
to properties that have a “registered accessory
Approved applicants will receive bag tags to
cover one (1) garbage bag a week, per extra
unit, for a period of
twelve (12) months. An application must be
completed every year for continued service.
Please complete/include the following:
Pages 1 and 2 of this form
Please return to Dufferin County Waste Services in one of the following ways:
Mail or drop-off: 55 Zina Street (2nd floor), Orangeville, ON L9W 1E5
Date of Application: Name of Applicant: Telephone Number:
Address of Property:
Are you the owner of the property?
If not, please provide contact information for the owner/property manager.
Number of Units:
Name of Property Owner: Telephone Number:
Mailing Address:
Approved by:
Date Approved:
Bag Tag Serial
Y / N
Application approved?
Proof of residence checked & verified? Y / N
Terms and Conditions (please check each box, to confirm you have read and accept these terms and
I acknowledge that the bag tags are for use by the tenants of the registered accessory
The tags are for use at the above noted address only, and cannot be transferred or re-sold. The
bag tags hold no cash value.
I also acknowledge that participation in Dufferin County’s Blue Box and Green Bin programs is
required under the Waste Services By-law, and agree to fully participate in these programs.
I certify that the information provided is, to the best of my knowledge, correct and complete.
Signature (not required for email submission below):
Notice with Respect to the Collection of Personal Information
Personal information requested on this form is collected as a necessary part of the administration
of Waste Services by the County of Dufferin pursuant to its legal authority as set out in the
Municipal Act, 2001. Collection, use and confidentiality of the personal information will be
according to the standards of the Municipal Freedom of Information and Protection of Privacy Act
and the information will be used for the purpose of verification of eligibility for specialized set out
service programming only. Questions or concerns about collection, use or disclosure of personal
information should be directed to the Director of Public Works at 519-941-2816 ext. 2600.
Submit Form By Email
Print Form