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Application for Garbage Container Limit Exemption for Group Homes

This application is for group homes, homes for adults with disabilities and homes for assisted living either in a single family home or in an apartment building with six units or less and currently receiving curbside collection provided by Niagara Region.

The home must be operating under provincial funding or otherwise must provide documentation to prove that a group home is operating out of the property address specified in order to qualify to set out one garbage container (bag/can) in addition to the one container (bag/can) weekly limit.

<P>Your request has been submitted</P>
    
    <H3>Please keep this page for your records</H3>
    
    <ol type="1">
    	<li>Once the application has been approved, you may set out:
        	<ul>
            	<li>One container (bag/can) weekly at the curb for collection with a garbage tag on the bag (or on the top item in the garbage can) in addition to the standard one container garbage limit.</li>
                <li>Additional (bags/cans) with garbage tags, for residents with medical needs, may also be set out for collection.</li>
            </ul>
        </li>
        <li>The garbage tags are for use by the above noted group home and cannot be transferred or re-sold.</li>
        <li>This exemption is for garbage generated by the group home only.</li>
        <li>Each bag of garbage above the one garbage bag/can limit must contain a garbage tag on it in order for the bags/cans to be collected.</li>
        <li>Participation in Niagara Region's Blue/Grey Box and Green Bin programs is required under the Waste Management By-law. Please check your collection calendar or call the Waste Info-Line at 905-356-4141 or 1-800-594-5542, or visit the website at www.niagararegion.ca to find out more information about these programs.</li>
        <li>All materials (garbage, recycling, large household items, and/or leaf and yard waste) must be at the curb no later than 7 a.m. on your scheduled collection day, and not set out prior to 5 p.m. the night before your collection day. Your garbage bag, can or bundle should not exceed 91 cm (36") in height by 61 cm (24") in diameter and not weigh more than 22.7 kg (50 lbs.) when full.</li>
        <li>This application must be completed annually. Please note date of application below for your records. A renewal form will be sent to you prior to the expiry of this service.</li>
        <li>If necessary, please report any service issues to our Customer Service Representatives at the Waste Info Line: 905-356-4141 or 1-800-594-5542.</li>
    </ol>

* = Required

Location Information

* Group Home Name

* Address

* City

* Postal Code

* Collection Day

* Program Description

This is a renewal application

Contact Information

* Contact Name

* Title / Position

* Phone

* Email

* Title / Position

* Manager / Administrator Name

* Manager / Administrator Phone

Administrative Information

* Is the group home funded by the Province? Yes
No

If the group home provider is private (not provincially funded), provide other documentation on Agency Letterhead such as a municipal registration number, which proves that a group home is operating out of the address provided.

Documentation

Additional exemptions for medical needs are required

If your application is approved, you will be issued special tags to affix to your extra cans/bags of garbage.

Would like to pick up your tags, or mailed to you?

Pick up tags (we will contact you when they are available)
Mailed to address above
* Note: that Niagara Region will not be held responsible for garbage tags delayed or lost in the mail

Terms and Conditions

* I agree to the following terms and conditions

I acknowledge that this allowance is for garbage generated by the group home only
The group home tags are for use by the above noted property only and cannot be transferred or re-sold
I also acknowledge that participation in Niagara Region's Blue/Grey Box and Green Bin programs is required under the Waste Management By-law, and agree to fully participate in these programs if allotted a weekly garbage bag/can limit increase
This application must be renewed annually
I agree that any personal information provided here may be shared with your third party contractor, Emterra Environmental, in order to provide me with a direct response
I understand that this information will not be shared with any other party and will only be used to contact me with regards to my application
I hereby certify that the information provided is true and accurate

Collection of Personal Information

Personal information requested on this form is collected, used and disclosed as a necessary part of the administration of Waste Management Services under the authority of By-law No. 2017-56. Collection, use and disclosure of the personal information will be in accordance with the Municipal Freedom of Information and Protection of Privacy Act and Personal Health Information Protection Act, and the information will be used for the purpose of verification of eligibility for specialized service programming only. Questions regarding the handling of your personal information should be referred to the Privacy Office at 905-980-6000 ext. 3779 or email the Privacy office.

Garbage, Recycling

Collection

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