Request Cancellation of Additional Can

2. The can must have been kept for at least a year. Can will be scheduled for pick-up after it’s emptied on your garbage day. Noncompliance may reflect a go-back charge. 

   Online requests will receive a confirmation email with information on scheduled date by the following business day.    

4. Failure to completely fill out the form will result in a delay of your request.
6. Address*
8. Name on Account*
10. Email Address*
12. Contact Phone Number*
14. Type of Can*
    -- Select One --Black CanGreen Can
15. Number of Cans to be Removed*
16. Regular Garbage Day*
    -- Select One --MondayTuesdayWednesdayThursday

18. By submitting this request I agree to comply with the regulations and agree to have the fee billed to my account. Amount may not show on the utility bill on the same month as request and so may show on the next month’s utility bill.

Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field