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Request an assisted service

Please complete this form if you are unable to move your crate to the kerbside and require assistance.

Important note: Your doctor must sign this form to be eligible for this free service. 


Step 1

Please download and complete the fillable PDF application form. Please make sure you’ve downloaded the form and saved it to your computer/device before you complete it, or your changes may not be saved.

Assisted service request form (94kb pdf)

To complete the PDF form, you may need to download the free Adobe Acrobat Reader DC or PDF XChange Editor software to your computer.

Adobe Acrobat Reader DC
PDF-XChange Editor 

Step 2

Once you have completed your application form, please print it out and take it to your doctor to complete and sign where indicated.

Step 3

Return the completed and signed form to via email, post or in person and we will contact you within 14 days to confirm your assisted service request.

Email: info@tauranga.govt.nz
Post: Tauranga City Council, Private Bag 12022, Tauranga 3143
In person: Tauranga City Council service centre, 91 Willow Street, Tauranga

Last Reviewed: 28/09/2018


Tauranga City Council, Private Bag 12022, Tauranga, 3143, New Zealand  |  Terms of use  |  Site map

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