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Welcome to
West Somerset Council

Assisted Refuse/Recycling Collection

I wish to apply for an assisted collection for refuse and recycling. I confirm that I am unable to carry my refuse or recycling to the correct collection point, and there is no one in the household who is able to assist me, for the following reason
Fields marked with * must be completed
Reason for applying for assisted collection (required):	I am elderly I am disabled
Your Details
Name *:
House Number/Name *:
Street Name *:
Town/Area *:
Postcode:
Telephone number *:
Email Address (optional):
Any Additional Comments (max 800 characters):
Declaration - I confirm that the information supplied is true and complete to the best of my knowledge.
Tick box to agree:
Security Code:

Your form will be received by our Customer Services Team who will forward the details to our contractors to action.