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Welcome to the Community City, OH, Action Line
Today is Friday, August 23, 2019.
Appliance Collection

Use this form to notify city personnel of the need to dispose of large household appliances.

* Information is required.

Contact Information

First Name:
Last Name:
* Email:
Daytime Phone: (
Address:
City:
State:
ZIP:

Appliance Pickup Location:

Please select the closest street number/streetname of problem location from list or select "*not on list". Provide any additional information on problem location in the box below.

* 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 size is the Appliance?




 
Mark all that apply:




5
 
What is your need to have this item removed?
 
Who is your current waste disposal provider?
 
Any additional Comments:
 
* Type of applicance






7
 

CAPTCHA

Check here to have email confirmation of this submission.

* 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.

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