Residential & Multi-Family Customers Stop Service Request

* = Required Information

The City of Milpitas, in compliance with the State of California and Santa Clara County, requires all residents to subscribe to Solid Waste collection services to ensure environmental justice and protect public health.

If you are unable to complete or submit this form, please call us at 408-988-4500.

Which service are you requesting to stop?

Stop service date (Milpitas Sanitation will stop service on your service date only and requires that your stop service request be submitted at least one business day before desired stop date): *

Customer Name: *

First

Last

Site Address: *

Address Line 1

City

State

Zip Code

Forwarding Address: *

Address Line 1

City

State

Zip Code

Please supply at least one phone number (work):

Please supply at least one phone number (home):

Please supply at least one phone number (cell):

Email *

Please have your carts at the curb by 6:00 a.m. on the day you are requesting we stop service. Your carts will be serviced as normal on your last service day and a second truck will remove your carts later that day. Billing will continue until ALL carts are removed. *

I acknowledge the above statement (please check box to continue).

Please provide serial numbers of carts you have (if possible). Numbers are located on the front of carts (example: G32 000012):

Garbage/Food Scraps split cart serial #:

Recyclables split cart serial #:

Yard Trimmings cart serial #:

If you paid a deposit when you started service, the deposit will be applied to your final bill. If you have a credit on your account you will receive a refund within one quarter after date service is stopped. *

I acknowledge the above statement (please check box to continue).

Signature *

Submission of this form must include a signature.

Additional comment / questions: