RESIDENTS

Sanitation Service Sign Up Form

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Sanitation Service Sign Up Form

Sanitation Service

If you want service, please fill out the information below and we’ll follow up with you.

Name(Required)

First Last

Service Address

Street Address Address Line 2 City State ZIP Code

Is your billing address different from your service address?

Yes, my billing address is different from my service address.

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Enter Email Confirm Email

Phone Number(Required)

Do you have a water account with City of Pittsburg?

Yes

What is your water account number with City of Pittsburg?

Residential or Commercial Service?(Required)

Date for Start of Service(Required)

What size of container do you require?

How many containers do you require?

How many times per week do you need pickup? (Max 5)

What days per week do you want for pickup?

Monday

Tuesday

Wednesday

Thursday

Friday

Today's Date(Required)

Do you have any questions or comments regarding this new service?

Please let us know what’s on your mind. Have a question for us? Ask away.

The City of Pittsburg is not liable for any damage or accidents resulting from the use of trash containers. Residents and businesses are encouraged to handle and position trash containers responsibly to prevent potential hazards. By enrolling in this service, I acknowledge and accept full responsibility for the management and safety of these containers.