Application for Garbage Container Limit Exemption for Group Homes

If approved, up to two additional garbage bags / cans with tags, can be placed at the curb for collection each week.

Waste exemptions for group homes because of medical reasons must be renewed on an annual basis.

<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

* Description of support program

This is a renewal application

Contact Information

* Contact Name

* Title / Position

* Phone

* Email

* Manager / Administrator Name

* Manager / Administrator Phone

Funding Information

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

If the group home provider is private (for example, not provincially funded), provide other documentation which proves that a group home is operating out of the address provided.

Documentation

Medical Needs Information

The group home waste exemption is for waste generated as a result of a medical condition. No other waste shall be placed in the bag/can. This exemption will increase the garbage container limit by one or two bags/cans of garbage each week, per approved applicant. The corresponding number of tags will be issued.

Provide and attach the group home's medical exemption needs in a letter on agency letterhead providing the number of individuals requiring the exemption and the number of tags required per eligible person, up to a limit of two tags per eligible person. The letter shall be signed by the agency administrator or signing authority and submitted with this group home exemption application.

Medical Waste Tags

If your application is approved, you will be issued special tags to affix to your extra cans/bags of garbage. Tags can be picked up from Niagara Region Headquarters, Monday to Friday, 8:30 a.m. - 4:30 p.m. or mailed to your home.

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

Pick up tags (Niagara Region will contact you when they're available for pick up)
Mail tags to address above
Mail tags to a central administration office

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 only for waste generated as a result of a medical condition
I acknowledge that the medical waste tags are for use by the above noted property only and cannot be transferred or resold
I 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
I acknowledge that regular garbage collection will only be collected every-other-week on my regular collection day
I acknowledge that this application must be renewed annually
If this exemption is no longer required I will notify Niagara Region
I agree that any personal information provided here may be shared with your third party contractor to provide me with this service. I understand that this information will not be shared with any other party and will only be used to contact me with regard to my application.
I agree to the terms above and 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.

Notice of Collection

Any personal information or personal health information submitted will be collected, used, and disclosed, where applicable, by members of Regional staff according to the Municipal Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. Any information you share will only be used for the intended purpose for which it was provided.

For questions or comments about privacy practices, or for more information about the administration of the Municipal Freedom of Information and Protection of Privacy Act in Niagara Region programs, see Freedom of Information and Open Government.