Please only fill in this form if you live in/ the property is in Lichfield District or Tamworth Borough.
This form is not for business/trade waste - find out about our commercial waste service.
We provide assisted collections to help people who are unable to move their bins to the kerbside and have no one else (aged 16+) living in their house who can help them to do this.
You may apply on behalf of a friend, relative or someone you care for.
When your form is submitted we will make contact to arrange for someone to visit the property (this will be done within 5 working days) to assess the location of the bin.
As part of this form, we will ask you for your email address. This is so we can keep you up to date on your order/any service issues.