Failure to Properly Store
Receptacles Service Request
To report receptacles that are placed out prior to
collection day or before 5pm on the evening before collection or that are
not removed after collection, please complete and submit the following
form:
* denotes required field
What is the name and address of the
violator?
* Boro:
Select a
boro... The Bronx Brooklyn Manhattan Queens Staten
Island
Name of Violator or Business:
* Street Address:
* Between Streets:
* When are the receptacles being placed out?
Prior to
collection
Not removed after collection
* What time does this occur?
hh
12 1 2 3 4
5 6 7 8 9
10 11 :
mm 00 15 30 45 ?? AM PM
Where is the violation
occurring?
* Street Address:
* Between Streets:
Additional Information: e.g. Exact location (maximum 100
characters)
If necessary, how can we contact
you?
I would like to
remain anonymous
My
contact information is as follows:
Name:
Daytime Telephone Number including Area Code:
E-mail Address: