Back Door Bin Collection Service/Assisted Lift Request

Does any other able-bodied person live at this address:*

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Alternatively you can print and complete attaching doctor/healthcare professional letter and post to:

Technical Services
Civic Headquarters
Lagan Valley Island
BT27 4RL

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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.