Request for Service

2. Please use this form if you have a request, a question, or a complaint about your garbage or recycling service. Provide as much information as you can to help us respond quickly to your request. All requests will be handled in the order in which it was received. If your address is not found in our system, please call 850-833-9655 for assistance.

4. Type*

   1. Residential Request
   2. Commercial Request
6. Name*
8. Phone*
10. Email
12. Address*
14. Apartment/Unit #
16. Describe Your Request*
    -- Select One --Garbage - Pickup MissedGarbage - Cart MissingRecycling - Pickup MissedRecycling - Cart MissingCollection Days - What Are Mine?ComplimentContainer - RepairEstimate - Extra Yard Waste PickupFriday - Bulk Household PickupProperty DamageYard Waste - Pickup Missed
18. Additional Comments
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit Submit and Print

* indicates a required field