Request and Pay for a Bulky Waste Collection

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Payment Variables
New case
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1. Contact Details
  1. Title*
  2. First Name*
  3. Surname*
  4. Address Lookup
    
    Postcode
    
    Address
  10. Address*
  11. If there is no address displayed above, or you would like to use an alternate address, please enter the appropriate postcode below.
  12. Email*
  13. Phone Number
2. If you receive a means tested benefit the cost of this service is reduced to £16.
3. Do you receive a means-tested benefit (e.g. Pension Credit, Universal Credit)?*
  
  Yes
  
  No
4. National Insurance Number
  Please use capital letters
5. Which benefit are you claiming?
  If you claim multiple benefits please select only one