Name *

Phone number *

Email address *

What is the street address the bin belongs to? *

Which wheelie bin is the sticker for? *

• Red Rubbish Bin
• Yellow Recycling Bin

What is the wheelie bin's Serial Number? (Alternatively, you can attach a photo of the serial number or old sticker if you still have it.) * Note: you can find this on the side of the wheelie bin. If it's a red bin the serial number will start with the letters 'REF' and if it's a yellow bin the serial number will start with the letters 'RCY'.

Attachment(optional) If you have not provided your serial number above, please attach a photo of it here and write 'see attached' in the box above .

You must click "SUBMIT" below for your form to be submitted.

You will receive a confirmation email once your request has been properly submitted. If you do not receive an email, please contact us at info@adc.govt.nz or call us (03) 307 7700 24 hours for urgent requests.