Dubois County Solid Waste District Tire Recycling Request Form 2025
This grant is intended for tires that are improperly stored or disposed of. It is not to be used by a business that takes tires in as part of their business or for residents who get new tires, as those should be left at the tire service center. Fill this form out if you have tires you want considered for the program. A staff member will contact you. If accepted, we may request that you bring them to us or we may arrange a pick up at your location. NOTE: We DO take tires every day we are open at our Process Center, however we CHARGE for those tires. Contact us at 812-482-7865 for info.
Name
*
First Name
Last Name
Business or resident?
*
Business in Dubois County
Resident in Dubois County
Agency/Non-Profit/Government
Business/ Organization Name
Contact Number
*
If you are NOT the owner of the tires, please explain
How many TOTAL tires?
*
How many of total are passenger tires? Passenger tires are light car and truck tires or smaller.
*
How many of these passenger tires are on rim (meaning they are on the metal wheel)
*
How many of total are semi tires?
*
How many of these semi tires are on rim (meaning they are on the metal wheel)
*
How many of total are ag tires? (tractor tires, etc.)
*
How many of these ag tires are on rim (meaning they are on the metal wheel)
*
Please list any tires not listed above.
Please explain why you have the tires; list all reasons (such as; used for erosion control, were stored in barn, etc.).
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are the tires located at the address above?
*
yes
no
Location of tires
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
You may use this space for any other comments or information.
Submit
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