E-Gov Services City of Albemarle

Yard Waste Collection

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Purpose. Use this form to report missed yard waste collection. Remember, no yard waste will be collected if mixed with other material.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

Issue/Problem Location:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

What is your scheduled collection day?

* What is the address where the yard wate is located? If it is the same as completed in the form above, enter "same". If different from the form above, please enter the address:

How many collection periods has the yard waste been missed?

One Week

Two Weeks

Three Weeks

More than Three Weeks

Attach a Picture or File (max size: 30MB):

Add Another FIle

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* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.