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City of Huntsville

formssubmissions@huntsvilleal.gov

308 Fountain Circle Southwest, Huntsville, AL, 35801, US


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Request Off Street Garbage Collection Assistance

Full Name

Service Address

    Is there any other person, including household or domestic help, that could assist you in placing your garbage container next to the roadway?

    Do you agree to notify the sanitation division when the conditions for this service are no longer applicable?

    Are you employed?

    Please provide information below for two contacts we can call in case of emergency:

    Emergency Contact 1

    Emergency Contact 2

    Acknowledgements

    Please check this box to acknowledge that medical verification of your disability may be necessary.

    Check the box to acknowledge that special garbage collection assistance is available to you only while you are physically unable to place your garbage by the road and that you have no other way (or individual to help) to place the container by the roadway?

    By checking the box, you acknowledge your understanding that all garbage collected by the Huntsville sanitation division must be bagged and each bag cannot weigh more than 50 pounds.

    By checking this box, you acknowledge your understanding that each collection is limited to the garbage contained within the automated garbage cart and does not include overflow.

    By checking the box, I hereby grant the City of Huntsville permission to use said private property and agree not to hold the City of Huntsville liable for any damages resulting from the collection service, providing that this request is approved and your driveway or private property has to be used to access.

    By checking the box, you acknowledge this request is for garbage collection only. Any yard waste or trash items outside of a container must be placed at the curb.

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