Litter Patrol Hotline Request Form

Litter Patrol Hotline Request Form

Please fill out the form below and return to us by hitting the SEND button. Once the request is received, it will be forwarded to the Putnam Litter Patrol to be placed on their workorder list.
This request is for :

Roadside LitterRail Trail Litter
Date of Request:

MonthDayYear
Date
Address of Litter:

Street Address

Street Address Line 2

CityState

Zip Code
Closest Landmarks or Cross Streets:
Date First Seen:

MonthDayYear
Date
Nature of Litter: (Please describe as best as you can)

Should we need additional information, please give us your