Batteries Collection Form

Organisation details

* Business premises
Council / Public Premises
Organisation / Business name *

Collection site details

Contact Name *
Telephone *
E-mail *
Address *
Town *
Postcode *
Hazardous waste Premises Code

Collection requirements

Container type *
Number of containers to be emptied *
Battery type *
Days collection permitted * Mon
Tue
Wed
Thur
Fri
Sat
Sun

Earliest collection time (e.g. 8am) *

Latest collection time (e.g. 4pm) *

Other site access information
(e.g. is there a certain
person we need to ask for,
or entrance we need to use?)
Additional special requirements