Assisted Collection Request for an assisted collection Overall form progress: 100% Complete Complete this form to request that your bins are collected within the boundary of your property and returned once they have been emptied. This service is available to people who are not able to put the bins out for collection themselves.An assisted collection can be arranged when either;- you have mobility problems- you have health problems- you are over 72 years old- and there is no other resident aged over 16 who can put the bins out. Further information about this service is available on the web page. Please tick all that apply I have mobility problems. I have health problems. I am over 72 years old. Property details * Please enter the postcode to find the address * Where on your property are your bins kept? Front Side Rear * Are your bins easily accessible? i.e. do you need to open a gate? Yes No If No, please provide further details Which containers do you have? - Please tick relevant boxes below. Grey bin (domestic waste) Burgundy bin (bottles, cans and plastics) Beige bin (paper and cardboard) Green bin (garden waste) Green food waste container Green box (bottles, cans and plastics) Plastic sack (paper and cardboard) Your details Please provide your contact details as we may need to contact you if we need more information. The information you supply will only be used to process your request. Information will be passed to third parties where they are providing the service on behalf of Bolton Council or if we are required to do so by law. Find out more privacy notice.* Title Mr Mrs Miss Ms Dr Sir Lord * Forename * Surname * Telephone Number (provide the area code and leave no spaces for example 01204333333) * Email Address I confirm that there is no other resident aged over 16 who can put the bins out and the resident(s) is over 72 years old or has health problems Form Navigation