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Service Request Entry - Clean and Green

Please complete as much information as possible and click the Review button.

( ** Mandatory fields have red labels. )


Location:  

Supporting Information

What is the name of your organization or community group?
What is the date that you will be working on Clean and Green?
Additional comments:
Thank You! PICK UP tools at area Sanitation Division on the selected date.
(Division Addresses 1 thru 9 are noted below). Photo ID is required!
D1 - 6441 N. Ravenswood; D2 - 4211 W. Ferdinand; D3 - 4241 W. Ferdinand
D4 - 1320 W. Concord; D5 - 3757 W. 34th St.; D6 - 3800 S. Iron
D7 - 2300 W. 52nd St.; D8 - 900 E. 103rd St.; D9 - 351 E. (Lower) Randolph
To locate your Sanitation Division
Go to - www.cityofchicago.org/dss or call 311 with your Service Request #
Input cell # to opt-in for text updates. If opted-in, add cell # to caller info.


Caller / Contact Information
First Name Last Name
Street Address
Address 2
City
E-Mail Address
Contact Type Contact Number   Extension/Comments