2. 
4. 
6. Invoice and Notice of Solid Waste Nuisance Appeal
8. This is a form to start the appeals process for any Solid Waste Invoice and Notice of Solid Waste Nuisance. Please provide the following information as applicable.
10. Property in question: Address*
12. Owner Name*
13. Owner Address*
15. State*
16. Zip Code*
18. Owner Phone Number*
19. Owner Email Address*
21. Invoice Number*
23. Please describe the reason for your appeal and provide as much information as possible:*
25. Please provide any other pertinent information you would like to add (dates, documents, etc.) to support your appeal.
26. Upload file
28. Terms and conditions*

    By selecting I agree, you are agreeing that this information is true to the best of your knowledge and that you are in charge of the utility account or designated and authorized to transact business on behalf of this account.

    1. I agree.
29. Date*
    Date
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field