Request for Back Door Garbage Service

Request for Back Door Garbage Service

This form is to request "Back Door Garbage Service" pick up. In order to receive this service through Amwaste, you must be a current resident, either 65 or older or considered medically disabled. This request will go directly to Amwaste for consideration.

Please note, a copy of your current utility bill, drivers license/I.D and/or note from your doctor will need to be uploaded.
Are you 65 years of age or older or medically disabled?
Your Name

First NameLast Name
Your Email
example@example.com
Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload current drivers license or identification card

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Upload a current utility bill

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Upload a medical note from your doctor

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Date/Time of this Submission
Unfortunately, at this time you do not meet the requirements for backdoor garbage service provided by Amwaste through the City of Homewood. Thank you.
OTHER
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