New Litter Bin in Park Request

Contact information

First name

Last name

Email address

10-digit phone

Include your email address to receive an email confirmation and to check the status of your service request online later.

Location

Civic address

Civic number

Street name

Unit/Apartment

Example: 5693 Spring Garden (Do not include street type/suffix)

Approximate location

Maximum 250 characters

Enter the civic address or approximate location.

Service request details

Details *

Maximum 500 characters

Provide reasoning for new litter bin.

Attachments

Please attach any supporting documents here.

In accordance with Section 485 of the Municipal Government Act (MGA), any personal information collected on this form will only be used by municipal staff and, if necessary, individuals and/or organizations under service contract with the Halifax Regional Municipality for purposes relating to processing the New Litter Bin in Park Request form.

If you have any questions about this form/survey, please call 311 or email contactus@311.halifax.ca.