Declaration Form For The Deposit Of Household Waste And/or Use Of A Hire Vehicle

Download a blank fillable Declaration Form For The Deposit Of Household Waste And/or Use Of A Hire Vehicle in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Declaration Form For The Deposit Of Household Waste And/or Use Of A Hire Vehicle with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Declaration Form for the Deposit of Household Waste and / or
Use of a Hire Vehicle*
Please read ALL notes in Sections 1, 2 and 3 before completing this form
Name of Applicant
Address
Post Code
Telephone Number
Vehicle Model*
Vehicle Registration
Hire Company Name
Hire agreement checked confirming vehicle hired for 3 days or less? Yes
No
Identification used** Driving License
Council Tax Bill
Bank Statement
Passport
Utility Bill
Other (please specify)
Date of Visit
Please note
* T&Cs and the HWRC User Guide apply
** Two forms of ID must be presented with a copy of the hire agreement, one must be photo ID.
The addresses on all documents must be the same to allow access
Section 1 – Declaration of Origin of the Waste
1.1.
Both Newtown Road Household Waste Recycling Centre and Padworth Lane Recycling
Centre are licensed by the Environment Agency to accept household waste only. Waste
generated through business, commercial or trade activities, or through other organisations,
cannot be deposited at either site.
1.2.
By signing and submitting this form you are declaring to West Berkshire Council:
a) That only waste generated from your own household is being deposited.
b) That no waste generated from business, commercial or trade activities is being brought in
by you.
c) That the information supplied to West Berkshire Council on this form is accurate.
1.3.
Additionally, by signing and submitting this form you are agreeing that:
a) West Berkshire Council has the right to undertake any further investigation necessary to
identify the origin of the waste (including visiting the applicant’s property).
b) Any unlawful deposition of business, commercial or trade waste at either of the facilities
mentioned above is considered an offence under the Environmental Protection Act 1990
and person(s) responsible may face a fine or be prosecuted.
c) To abide by the Terms and Conditions.
Signed
Print Name
Date
Please turn over

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2