Request for Kerbside Collection Service
Kerbside Collection Request
Revision: v2.9
Page 1 of 2 Last Updated 15/08/2019
Property Valuation Number
CONTACT DETAILS
Name
Phone
Email
PROPERTY DETAILS
Physical Address
Postal Address
Request for Kerbside Collection Service
Kerbside Collection Request
Revision: v2.9
Page 2 of 2 Last Updated 15/08/2019
ADDITIONAL DETAILS
Are you living on site?
Yes No
Property is a new single residential dwelling on a previously vacant section Yes No
- If Yes please state Building Consent number
- If Yes is the property being lived in
Yes No
Property is a new single residential dwelling that has been subdivided off a
section containing an existing dwelling
Yes No
- If Yes please state Building Consent number
- If Yes is the property being lived in Yes No
Property was previously used for visitor accommodation for more than 180 days
per annum and is now primarily used as a residential dwelling
Yes No
- If Yes please state Resource Consent number
Other – please describe (including new flat added to property, unit title properties etc)
Have you logged an RFS related to this request?
Yes No
- If Yes please state the RFS number
Please send the completed form to services@qldc.govt.nz.
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