Mayors Office Banner


Service Request Entry - Yard Waste

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

( ** Mandatory fields have red labels. )


Location:  

Supporting Information

What is the yard waste to be picked up?
Where is the brush located?
If bags of grass/leaves, then how many Bags?
Is your garbage picked up on the curb or alley?
Input cell # to opt-in for text updates. If opted-in, add cell # to caller info.


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


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