2012 COMMUNITY PARTNERSHIP PROGRAM
TIPPING FEE APPLICATION
Agency: Program Name:
Legal Address of your agency. Include mailing address if different
than legal address.
Phone #: Fax #: E-Mail: Website:
Contact Person (For inquiries on this application):
Title: Phone #:
Is your agency registered as a non-profit organization1? YES or NO?
If yes, please provide a copy of your incorporation/your registered
Organizations accept charitable donations for a number of reasons.
Describe in detail how the items collected by your organization contribute
to your overall programming. You may attach additional material if
Please note that applications will not be considered by for profit organizations that are
assisting in fundraising programs with local non-profit agencies.
Please Complete the following table and provide evidence to support the
information provided in the chart i.e. copies of invoices etc.
Total Tonnage Taken To Transfer
Station In 2011* OR Total $ Spent On Tonnage In
* We realize that due to the timing of the application the information you provide will not be
annualized. Please indicate that date up to which for which you have been able to provide
Submit your completed application AND a copy of your organization’s
most recent audited statements using registered mail by SEPTEMBER
30, 2010 to:
Rosanna Melatti, Grants Co-ordinator
Community Partnership Program
71 Main Street West, (Hamilton City Hall), 1st Floor
Hamilton, ON L8P-4Y5
2012 CPP Tipping Fee Policy:
The current 2012 Tipping Fee Policy provides within the Community
Partnership Program provides the following level of assistance:
first 100 tonnes (or Last full years volume which ever is lower) is free.
tonnage between 100 and 500 Tonnes @ 50% of 2012 gate rate
tonnage over 500 @ full 2012 gate rate
Please note that your application will not be processed
without providing a response to all of the questions and the
provision of the relevant documents.