Customer Name
Email Address
Service Address
Account Number
Effective Date
Is this a permanent or temporary request?
Permanent - Name of contractor hired
Temporary - End Date Request will not be processed without a specific end date. TBD or Approximate is not acceptable. If requests extends beyond the date you enter above, a new form will need to be submitted.
Terms and Conditions:
I have verified that that the alternate contractor I have hired is licensed with the City and emailed proof of such service (agreement or bill) to [email protected]
I understand that if the cancellation period is less than three months, I will be charged a $40 reactivation fee upon resumption of service.
I understand that my household cannot use the recycling center or the compost center at the public works yard, participate in the City's curbside trash or recycling program, cannot participate in curbside leaf pickup in the fall, set out yard waste bags for the City contractor, or utilize the City's brush chipping program.
I understand that if I am found to be using any portion of the City's services for trash, recycling, composting, leaf pickup, yard waste, or brush chipping programs, I will be charged for the entire two month billing period as well as going foward. These sercives are funded through the solid waste program and not by general taxes.
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