City Employee Request Form

    Your Name

    Department

    Department Number

    Phone Number

    Your Email

    I want to get monthly recycling tips. Sign me up for the e-newsletter.

    Number of Deskside Bins Requested

    Would you like us to give a short recycling presentation at your office to help educate your coworkers about recycling?

    YesNo

    Do you need to purge a large amount of recyclables (e.g. paper in storage, scrap metal from a construction project)?

    YesNo

    Feel free to share any additional information below: