Required fields are marked with asterisks (*)

Important Information

Site: Scotch Line Landfill only.
This form is not intended to be used for claims made through insurance.
A valid waste disposal card must be presented along with an approved application.
Only waste generated within the Township of Minden Hills is permitted to enter a Township of Minden Hills Waste Disposal Site.
This application is valid until May 31, 2026, and is intended for one-time use only.
Requests for extensions/exceptions must be emailed to flood2026@mindenhills.ca or call 705-286-1260 ext. 500.
Applications can be approved at the Township Office or by emailing flood2026@mindenhills.ca.

Name of Minden Hills Property Owner

Minden Hills Property Address (origin of waste)

Phone Number

Email address

Flood damaged waste for disposal includes:

I confirm that I am the owner of the abovementioned property located in the Township of Minden Hills. I do hereby confirm that my property was subject to flood water damage and request relief from waste disposal fees. Signature of Property Owner:

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