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2. Residents who receive the City’s curbside collection service can schedule up to four large household items for collection each year (July 1 to June 30) for free by choosing one of the following options:

   1. Put out 4 items at the same time, once per year, or;
   2. Put out 1, 2, or 3 items at different times of the year (to a maximum of 4 per year).

   Once your request has been received and reviewed, the City’s collection contractor, Waste Connections, may contact you for additional information and will follow up to confirm the collection date(s). Make note of this date – if you miss your scheduled collection it will count towards your item count for the year. 

   On the day of your scheduled collection, ensure items are out by 7:30 am. Items cannot be placed out any earlier than the night before your scheduled collection date as per the Boulevard Maintenance Bylaw No. 4853, 2018.

4. Full Name*
6. Coquitlam Address*
8. Contact Information
10. Phone Number
11. Email*
13. Item 1*
    -- Select One --Children's ItemBed / Mattress (free mattress bags available at the Town Centre Recycling Depot)Cabinet / Shelf / TableExercise EquipmentFurniture / Large Household ItemLarge ApplianceOutdoor / Patio
15. Item 2
    -- Select One --Children's ItemBed / Mattress (free mattress bags available at the Town Centre Recycling Depot)Cabinet / Shelf / TableExercise EquipmentFurniture / Large Household ItemLarge ApplianceOutdoor / Patio
17. Item 3
    -- Select One --Children's ItemBed / Mattress (free mattress bags available at the Town Centre Recycling Depot)Cabinet / Shelf / TableExercise EquipmentFurniture / Large Household ItemLarge ApplianceOutdoor / Patio
19. Item 4
    -- Select One --Children's ItemBed / Mattress (free mattress bags available at the Town Centre Recycling Depot)Cabinet / Shelf / TableExercise EquipmentFurniture / Large Household ItemLarge ApplianceOutdoor / Patio
21. Where will the item be set out? (Select One)

    1. Curbside
    2. Laneway
23. Please provide additional information about the specific item(s)

25. For a full list of items that are and are not accepted, please visit coquitlam.ca/LIPU. For more information about the Large Item Pick-Up program, please call Waste Connections of Canada at 604-636-3521 or email Waste Connections of Canada.

27. Freedom of Information and Protection of Privacy Act

    By clicking submit on this form you are consenting to the collection, storage, use and disclosure of your personal information. The City has authority to collect, use and disclose your information for the purposes of the Large Item Pickup Program with the Freedom of Information and Protection of Privacy Act. Your personal information will be disclosed to a third-party service providers (i.e. website host and Waste Connections of Canada). Should you have any questions or concerns about the collection of your personal information please call the Solid Waste Programs Specialist at 604-927-4300 or email.

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29. 1. Receive an email copy of this form.
30. Email address

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