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Application worksheet

A printable version of Grey District Council - Landfill Fees Assistance's application questions, extracted from their official form. Use it to plan your answers - then submit through the funder's real form.

View the original PDF →

Application worksheet

Application for Funding Assistance 2026/2027

Grey District Council - Landfill Fees Assistance

This worksheet mirrors the questions on the funder's official application form. It is NOT the official form. Submit your final answers through https://www.greydc.govt.nz/03your-community/grants-and-funding/landfill-fees-assistance.

1. Applicant details

Organisation name:*

Address:*

Contact name:*

Phone number:*

Email address:*

2. Funding required

$ / tonnes*

3. Breakdown of refuse currently disposed of

Approx. tonnage or refuse disposed of per year (tonnes)*

Number of visits to the landfill per year (approx.)*

Type of refuse disposed of:*

Hard fill (tonnes)

Household refuse (tonnes)

Furniture etc (tonnes)

Other (see below)

Recyclables (see below)

Specify other type of refuse:

4. Additional Information

Please provide details on how and what you are doing to reduce your landfill waste (attach a separate page if required):*

attach a separate page if required

Documents to attach

  • Details on how and what you are doing to reduce your landfill waste

Declarations

  • The information provided herein is, to the best of my knowledge, true.
  • The refuse disposed of represents refuse generated by the organisation I represent and excludes any refuse of third parties.
  • Recyclables: In the interests of reducing waste and preserving our environment, applicants must be actively recycling, i.e. separating recyclables and disposing of them separately. The benefits under this funding assistance is for landfill refuse disposal only.

Signature

Date

Worksheet generated by All Too Human (alltoohuman.nz/grants). Source: official PDF. This is not an official submission form.