Trash Form

Trash Form
Add, Cancel or Change
(May only be completed by the account holder)

* Indicates required field

Applicant Name *

First

Last

Date of Birth *

Phone Number *

Cell Number *

Work Number *

Driver's Licenses *

State *

Social Security Number *

Email *

Service Address *

Trash is an optional service provided by the City of Willard. Any person who has a water account may choose to also have trash added to their account. There is a $25 deposit and $14 a month will be added to the water/sewer bill. The City of Willard only does the billing for the following trash companies. If you have a issue (such as pickup date or needing a new can) you will have to contact the individual company directly.

What is the date you would like to begin or end your service?
(Service can only be started on Working business days and cannot be any sooner then the next business day.)

Date Requested to Start Service *

Date Requested to End Service *

I would like to Start Trash. *

Patriot Trash Republic Trash WCA Trash

I would like to Cancel Trash. *

Patriot Trash Republic Trash WCA Trash

Recycling *

I live inside city limits and would like Free Recycling with my Trash

(reminder you may opt in at any time for $25 deposit )

Reason for Cancelling. *

By Clicking Submit, applicant and/or property owner hereby agrees to abide by all rules and policies established by the City of Willard. Applicant authorizes the City of Willard to add/cancel the trash charge on my monthly water bill.

Submit

We will NEED a digital COLOR copy of the Identification (Driver's License or other legal ID) for ALL person(s) who want to be on the account before we can complete the application.

Email the above Identification (most people are taking a picture of their ID) to the following emails (Please send to Both)

Trash Form​Add, Cancel or Change(May only be completed by the account holder)

Trash Form
Add, Cancel or Change
(May only be completed by the account holder)