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Application - Flood Waste Relief Program

1.

Name

* required

Maximum 255 characters

0/255

2.

Address where the flood occured

* required

Maximum 255 characters

0/255

3.

Address of property owner if different than flood location

Maximum 255 characters

0/255

4.

Phone Number

* required

Maximum 255 characters

0/255

5.

Email address

* required

6.

Make and model of the vehicle bringing waste to the landfill

* required

Maximum 255 characters

0/255

7.

License plate number of the vehicle bringing waste to the landfill

* required

Maximum 255 characters

0/255

8.

Will you be using a trailer?

* required

Yes

No

9.

Estimated number of loads you expect to bring

* required

Maximum 255 characters

0/255

10.

Proof of Insurance Claim Denial or No Flood Insurance Policy

* required

Acceptable forms include: An email from your insurance representative including their full name, title and name of Insurance company in the signature line. A claim denial letter from your insurer.

11.

Photo of water damage

* required

This information will be used to determine the approved number of trips

12.

Second photo (optional)

This information will be used to determine the approved number of trips

13.

Third photo (optional)

This information will be used to determine the approved number of trips

14.

Fourth photo (optional)

This information will be used to determine the approved number of trips

15.

Fifth photo (optional)

This information will be used to determine the approved number of trips

16.

Where will you pick up your punch card?

* required

Environmental Services Office, 1805 Frobisher St, Sudbury

Sudbury Landfill

Azilda Landfill

Hanmer Landfill

Walden Small Vehicle Transfer Station

Important Information

You must pre‑sort your waste so it can be properly diverted at the landfill.
Please allow up to 5 business days for review of your application. A response will be sent to the email address listed on your application to inform you of your approval status. If approved, your email will include instructions for disposal, and card-pick-up location and date.
If approved, you must use the approved vehicle listed on your application, bring your City-issued punch card with you for every landfill visit that you wish to be applied to your flood waste relief program and be prepared to present a valid driver’s license.
If you do not have your punch card with you, the visit will not count toward your flood waste relief visits and will be subject to the regular tipping and gate fees.

17.

I acknowledge that I have read and understand the above important information.

* required

Yes

Notice of collection

The personal information collected by this survey is collected under the authority of sections 10 and 227 of the Municipal Act, 2001, S.O. 2001, c. 25 for the purposes of administering and determining eligibility for the flood Waste Relief Program. Questions relating to the collection, use and disclosure of this personal information may be addressed to the Director of Environmental Services at PO Box 5000, Stn A, 200 Brady St. Sudbury, ON, P3A 5P3, or by calling 705-674-4455, extension 4356.