Additional Refuse Capacity Form To see more about how we record and store your information please see the Council’s privacy notice. Step 1 of 11 9% General InformationAPPLICATION FORM FOR ADDITIONAL REFUSE CAPACITY You must complete ALL sections of the form. Application forms that are not completed in full will not be considered. If you need any help please contact our Customer Services Team on Tel: 01254 388 111. Our Details: ENVIRONMENTAL SERVICES WILLOWS LANE ACCRINGTON LANCASHIRE BB5 0RT TEL: 01254 388 111 FAX: 01254 872250 Email: firstname.lastname@example.org Save and Continue Later Basic Criteria for applicationAdditional Capacity Criteria Related to the Number of People Permanently Residing in a Domestic Property (Criteria based on experience gained from over 1,300 waste analysis ) Household numbers: Number of Household Number of children in nappies Application's Outcome 1 0 Request refused 2 0 Request refused 3 0 Request refused 4 0 Request refused 5 0 Request refused 6 0 Request refused 7 or more 0 Stage 1 2 1 Request refused 2 2 Request refused 3 1 Stage 1 3 2 Stage 1 4 or more 1 or more Stage 1 Stage 1 - Reject, does not meet criteria. Or complete application form and move to stage 2 Stage 2 - Reject, does not meet criteria. Or carry out waste analysis and move to stage 3 Stage 3 - Reject or approve NOTE Approval for additional capacity will be given by a Recycling and Waste Minimisation Officer (or other nominated officer), and only if the household meets the above criteria, has fully completed the application form, names have been verified and a successful waste analysis has been carried out. If additional capacity is authorised due to babies in nappies then the maximum period of additional capacity is 3 years. After 3 years, the household will revert back to standard 240 Litre bin unless they meet the criteria for the number of people living in the household. Children over 3 years of age are deemed to produce the same quantity of waste as an adult. Waste from pets i.e. cats, dogs, rabbits, guinea pigs, parrots etc have been taken into account. Any additional capacity provided is subject to random spot checks and is approved on the basis that the household fully utilises the recycling service provided. If the household is subsequently found not to be fully recycling then the additional capacity may be removed. Are you sure that you qualify for stage 1 (please read above) of the application?*NoYes Save and Continue Later Sorry You Are Not ElligibleThe information you have supplied so far indicates that you are not elligible to apply for Additional Refuse Capacity. Save and Continue Later Main Contact DetailsName* First Name Last Name Address* Street Address City State Zip/ Postal Code PhoneEmail Save and Continue Later Details of RequestHousehold Members*Please list below all the people who permanently live in your property 365 days a year, together with their dates of birth (NI numbers may be required at a later date to verify the information you supplied). Please click on (+) button to add more members Household Member's NameDate of Birth Reasons*Please write below your reasons for requesting additional capacity: Save and Continue Later Garden WasteDo you put any garden waste in your grey bin?*Please Select ...YesNoDo you have a Green Bin and you recycle your garden waste?*Please Select ...YesNoDo you use a home composter?*Please Select ...YesNo Save and Continue Later RecyclingDo you recycle all your glass bottles and jars?*Please Select ...YesNoDo you recycle all your plastic bottles, food and drink cans?*Please Select ...YesNoDo you recycle all your paper, magazines, catalogues and junk mail?*Please Select ...YesNoDo you recycle all your unwaxed cardboard?*Please Select ...YesNoDo you recycle all your textiles?*Please Select ...YesNoDo you have sufficient Recycling Containers?*Please Select ...YesNo Save and Continue Later Additional ContainersWhich additional containers would you like and how many? Blue Sack?*Please Select ...012345Blue Box?*Please Select ...012345White Sack?*Please Select ...012345Green Sack?*Please Select ...012345Clear Bag for Household Batteries?*Please Select ...012345 Save and Continue Later Non Recycleable WasteDo you flatten all your packaging before placing it in your Grey Bin?*YesNoDo you pierce / remove all the air from your bin bags before placing in your Grey Bin?*YesNoDo you look to purchase products with less or no packaging?*YesNoDo you use the Household Recycling Centres to recycle any other waste?*YesNoHousehold Recycling CentresHow often and what waste do you recycle at Household Recycling Centres?* Save and Continue Later DeclarationYou must read the following statement and then complete the rest of the section. I confirm that all the information given above is correct I confirm that I am fully recycling all my Household Waste I understand that if I receive Additional Refuse Capacity and later I am found not to be fully recycling, then the Council has the right to remove the additional capacity. *Please place a tick in the checkbox below to confirm that the contents of this form are true Yes, the contents of this form are true Save and Continue Later By pressing "Submit Form" button below would complete this form and send it for internal processing. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.