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2. Refuse Collection Service Change Request Form

   Residents wishing to change their refuse service may fill out the service change request form below. 

   Please note: it may take a week to process your request and one billing cycle for new rates to be reflected. For container size changes, containers should be left visible and accessible to staff with a sign that says "refuse change, please remove" on old containers once you receive confirmation of your service change.

   Residents selecting back door collection are responsible for purchasing their own 35 gallon refuse containers. Residents who are switching from curbside to back door service should leave their yellow-topped empty containers visible and accessible to staff. 

   PLEASE NOTE, ALL PRICES QUOTED ARE FOR TWO MONTHS OF SERVICE.

4. 
6. Refuse service change selection*

   1. Curbside 35 Gallon 1x/week ($55.36/two months)
   2. Curbside 65 Gallon 1x/week ($73.80/two months)
   3. Curbside 95 Gallon 1x/week ($92.26/two months)
   4. Curbside 95 Gallon 1x/week ($184.52/two months)
   5. Back door collection 1x/week ($102.50/two months)
   6. Back door collection 2x/week ($205/two months)
8. First Name*
9. Last Name*
11. Address Number*
12. Street Name*
14. Phone Number*
15. Email Address*
17. Questions?
    Call 847-716-3568 with questions about the refuse program service levels or selection.
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field