City Employee Request Form

Your Name

Department

Department Number

Phone Number

Your Email

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: