<p>NOTIFICATION TO ELLWASTE MISSING OR DAMAGED BIN</p><p>Property Owner Property Address</p><p>Nine digit number Property Number ______{ found on rates notice Telephone Number Details Type of bin  120L WASTE bin (red lid)  240L WASTE bin (red lid)  240L RECYCLING bin (yellow lid)  Green Waste bin </p><p> Missing bin  Statutory declaration / lost property report from Police attached</p><p> Damaged bin  Please replace bin  Please replace pin from lid of bin  Other </p><p>Notification made by print name date</p><p>PRIVACY NOTIFICATION Council is collecting the personal information requested on this form for the purpose of carrying out its functions under the Local Government Act 1989. This information will be used solely by Council, for the primary provision of its Waste & Recycling Services. Council may disclose this information to other government bodies, Waste Contractors or where there is a legislative requirement. The applicant understands that the personal information provided is for the efficient running of its Waste & Recycling Services, and that he or she may apply to Council for access to and / or amendment of the information. Requests for access and or correction should be made to Council’s Privacy Officer</p><p>GANNAWARRA SHIRE COUNCIL Kerang office Patchell Plaza, 47 Victoria Street Kerang Telephone 03 5450 9333 Fax 03 5450 3023 Cohuna office 23-25 King Edward Street Cohuna Telephone 03 5456 5222 Mail PO Box 287 Kerang VIC 3579 ABN 98 993 182 937 Email [email protected] Web www.gannawarra.vic.gov.au</p><p>Office Use Only  Date stamp document (18.03.009) CS officer:  Email document to Ellwaste Date:  Stamp with email stamp and complete details  Send document to Records for registration</p><p>This message is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone and destroy the original message. Thank you</p>