Peoria AZ Bulk Trash Appointment Request Form

Request a Bulk Trash Appointment
Note: Submitting this form does not guarantee pickup on that date. You will be contacted by email with your collection date and confirmation number. If you have not received your confirmation, please check your Spam/Junk Folder.
Your Name*

First NameLast Name
Street Address*

Street Address Line 2

CityState / Province

Postal / Zip Code
Subdivision / Neighborhood Name
Gate Code (if applicable)
E-mail Address*
example@example.com
Phone Number*
Each household with Solid Waste Refuse service will receive up to a maximum of two (2) bulk trash collections per calendar year. Please indicate below if this is your 1st or 2nd pickup. *

1st Pickup2nd Pickup
What is your desired pickup date (1st choice)? Please select a day of the week that corresponds to your zone using the map linked above. Days that are greyed out are not available for collection.

MonthDayYear
Date
What is your desired pickup date (2nd choice)? Please select a day of the week that corresponds to your zone using the map linked above. Days that are greyed out are not available for collection.

MonthDayYear
Date
Please check the box to confirm that you have read and will follow the Bulk Collection Program guidelines (above): Bulk items that do not follow the guidelines WILL NOT be picked up, even if they are placed for collection.*

I HAVE READ AND AGREE TO THE BULK COLLECTION PROGRAM GUIDELINES
Should be Empty:

Request a Bulk Trash Appointment