Vacation Hold Request

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Please correct the field(s) marked in red below:

If you would like to place your trash and recycling services account on hold during an extended period of time (must be between 2-6 months in duration), please fill out and submit the form below. 

1
Account holder's first and last name:
 *
2
Email Address: 
 *
3
Account Number:
4
Service Address:
5
Date you would like to begin your service hold:
 *
6
Date you would like to restart service: