Damaged Bin Form Use this form to report a damaged bin. PLEASE NOTE: Rubbish bins are responsibility of the property owner. Parts will be replaced if possible before an entire replacement bin is provided. Full replacement will only occur if the below criteria are met: Australian Standard Bin Less than 6 years old Damaged during collection The City reserves the right to investigate damaged bin claims on a case-by-case basis. Your contact details will be sent to the contractor and to the City of Greater Geraldton Waste Officer. We will contact you to provide you with more information. Please contact us on 9956 6600 if you require more information. Am I eligible for a replacement? Name:*This field is required. * Required Field. Street Address:*This field is required. * Required Field. Contact Number:*This field is required. * Required Field.* Please enter a valid contact number. Email Address*This field is required. * Required Field.* Please enter a valid email address. Rubbish Collection Day:*This field is required. Select an Option Monday Tuesday Wednesday Thursday Friday * Required Field. Age of Bin (Years)*This field is required. Select an Option 1 2 3 4 5 6 7 8 9 10 * Required Field. Parts of the bin that are broken:*This field is required. Lid Wheels Body Pins Axel How did the bin become damaged?*This field is required. * Required Field. Photo of damage Photo of damage:*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Whole bin (body) photo Whole bin (body) photo:*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Photo of top view: Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image