Accepted file formats include jpg, png, gif, word and pdf
Alternatively you can print and complete attaching doctor/healthcare professional letter and post to:
Technical Services Civic Headquarters Lagan Valley Island Lisburn BT27 4RL
Lisburn & Castlereagh City Council collects the information on this form for the purposes of providing a back door bin collection service. The information will not be used for any other purpose and will not be disclosed to any other organisation.