Dump Ticket Request Form

Please note: You will be asked to upload your proof of residency documents as requested below on the last question. If you are unable to complete this task, we will not be able to fulfill your request. You can alternatively come to City Hall at 100 E Jackson St. to make your request with the appropriate documentation of: (1) Your driver's license or ID with your current address, and (2) a copy of your water bill OR rental agreement if you are a renter and do not pay the water bill.

Name *

Address *

Phone Number *

Email *

Please provide Proof of Residency by uploading the below documentation requests.

Upload a copy of your driver's license or ID with your current address. *

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Upload a copy of your water bill OR rental agreement if you are a renter and do not pay the water bill. *

File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

* - denotes required field