Residential Cart Service Request - Milpitas Sanitation

Which service are you requesting?:

Start service date: *

Service Address: *

Address Line 1

City

State

Zip Code

Mailing / Billing address - if different from service address:

Address Line 1

City

State

Zip Code

Name(s) on account (Only these names may authorize changes to account): *

First

Last

Email *

Name(s) on account (Only these names may authorize changes to account):

First

Last

Name(s) on account (Only these names may authorize changes to account):

First

Last

Please supply at least one phone number (work):

Please supply at least one phone number (home):

Please supply at least one phone number (cell):

Do you own or rent the property that you are starting service for?: *

Own
Rent

If you previously had service with us, please list your previous Milpitas address:

Address Line 1

City

State

Zip Code

Note: A stop service application must be completed to stop service at this address or the account will remain active. *

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

Garbage / Food Scraps split cart size at the service location: *

EXTRA SMAILL - 19-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart with insert)
SMALL - 26-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart with insert)
MEDIUM - 45-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart)
LARGE - 67-gallons for garbage and 29-gallons for food scraps existing (96-gallons cart)
None - I am having a cart delivered

Click here for a diagram of cart sizes.

Garbage / Food Scraps split cart size would you like delivered: *

EXTRA SMALL - 19-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart with insert)
SMALL - 26-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart with insert)
MEDIUM - 45-gallons for garbage and 19-gallons for food scraps existing (64-gallon cart)
LARGE - 67-gallons for garbage and 29-gallons for food scraps existing (96-gallons cart)
None - I am keeping the existing carts at site

Click here for a diagram of cart sizes.

Recyclables split cart and Yard Trimmings carts are included in the basic collection service prices. The standard sizes delivered with the Garbage / Food Scraps split carts are a 96-gallon Recyclables split cart and a 96-gallon Yard Trimmings cart. If you would prefer a smaller (64-gallon) split cart for Recyclables, please indicate below or request to have a customer service representative call you and discuss the sizes available. *

Deliver a 96-gallon recyclables split cart and a 96-gallon yard trimmings cart
Deliver a 64-gallon recyclables split cart
Please have customer service call me to discuss sizes

Click here for a guide of what belongs in your Garbage / Food Scraps spilt cart, Recyclables split cart, and Yard Trimmings carts.

Phone

There is a senior low-volume rate available for senior citizens (for 19 & 29-gallon Garbage/Food Scraps split carts only. Senior Rate form can be found here.

There is a charge to change your service level more than once in a twelve-month period - please call our office for fee information. *

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

I have read the rate sheet / misc. rate sheet and acknowledge the rate for this service. I understand that service cannot begin without acknowledgement of the applicable service rate. *

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

Click here for Rates for Service.

Additional comment / questions: