Waste Cart Request | District of Lake Country

First

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Roll or Folio number (from property tax or utility bill)

Phone number

I am aware a $25 change-out trip fee, plus applicable taxes, applies

Yes

Is this your first year of service at this address?

Yes

Other instructions:

By submitting this form, I am aware that I am requesting the changes above and accept any additional fees or removal of current fees

Yes

Personal information provided to the District of Lake Country is collected, used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act (FOIPPA). Personal information is defined as recorded information about an identifiable individual, including name, phone number, or email address, and is obtained if supplied voluntarily through completing an application for a District program or service. Any personal information we ask you to provide will only be used for that purpose. Questions may be directed to Corporate Services.

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