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2. First Name
3. Last Name
5. Address*
7. City
8. State
9. Zip
11. Confirmation of Residency*

    Scheduled collections are only available to Rockville residents that receive recycling and trash service. Not all Rockville addresses are serviced by the city. Confirm you are served by the city before making a request.

    1. I used the link above to confirm my address is served by the city.
13. Email*
14. Phone*
16. Type of Collection*

    Check all that apply.

    1. Bulk (non-metal items)
    2. Metal (e.g. appliances, metal fencing)
    3. Large Branches
    4. Electronics
18. Please list the materials for pickup*
20. Tips for a Bulk Collections Pick Up
    • Group materials together and separate by type. Avoid mixing different material types.
    • Materials must be easily accessible. Not blocked by vehicles.
    • Avoid putting materials under power lines. Our trucks cannot pass underneath them.
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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