Carts/Dumpster Application

Please complete every section. You must provide your driver's license. You will sign the garbage policy electronically.

1. Applicant
2. Policy
3. License

Section 1 of 3: Applicant information

Fields marked with an asterisk are required.

City of Colquitt Carts/Dumpster Application/Policy City of Colquitt, 154 West St., Colquitt, GA 39837, (229) 758-1000 ext. 1001 YOU MUST PROVIDE DRIVER’S LICENSE

Name

Phone number

Address

Mailing address (if different)

Date of birth

Encrypted on the server. It is not included in the notification email.

Social Security number

Encrypted on the server. It is not included in the notification email.

License number

Encrypted on the server.

Need help or a paper copy of a form? Call City Hall at (229) 758-1000 or visit us at 154 West St, Colquitt, GA 39837. Applicants requiring reasonable accommodations should contact the Human Resources Department.

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