CEW51 - Missed Bin Application Applicant Details Name*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Address*This field is required. * Required Field. Suburb/Locality Alternate 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. Additional Details Comments Your contact details will be sent to the contractor and to the City of Greater Geraldton Waste Officer. Please contact Cleanaway on (08) 9938 4000 or the City via email council@cgg.wa.gov.au or phone (08) 9956 6600. I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature*This field is required. * Required Field. Collection Notice The City of Greater Geraldton collects the personal information you provide in relation to the Missed Bin Application form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at pris@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.