Forms, Applications, and Waivers

Use our convenient forms listed below to sign up for automatic bill pay, request carry-out service, request a billing adjustment or submit a vacancy extension or waiver:

Automatic Bill Pay, Low Income Discount, or Carry Out Service Applications
  • EasyPay (automatic bill pay) Application Form - This form provides customers the convenience of paying a utility bill automatically. If you prefer not to receive printed bi-monthly statements, please submit a waiver with your application.
  • Application for Disability Carry Out Service - This service is available at no additional charge for customers who have a qualified disability under the Americans with Disabilities Act (ADA).
  • Application for Carry Out Service - This service is available for customers who wish to have Republic Services collect trash and recycling carts from a designated location on private property. Learn more on the Curb It website.
  • Hardship Application - For individuals who would like to apply for a hardship discount on residential sewer and trash services. Please note: In order to use this form, you'll need the latest version of Adobe Reader (Free download).
Management Company Forms
Property Refinance or Sale Forms
Billing Adjustments (Water leak)
  • Water leak billing adjustment - Customers who experience significant water usage due to a water leak may be eligible for a billing adjustment.
Vacancy Application
  • Vacancy Application - For customers who are not using sewer and trash services and whose property is vacant for at least 30 consecutive days. Please note: In order to use this form, you'll need the latest version of Adobe Reader (Free download).
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