Service Request Form

Please complete the form below to request new trash and recycling service, request new backyard service, or submit a backyard service re-certification; for questions, please contact ATL311 at (404) 546-0311

Department of Public Works - Service Request Details

First Name **	Last Name **
Email Address ***	Phone Number **
Service Address **	Unit # (if applicable) *
Electronic Signature (printed name) **

Doctor's Name *	Doctor's Phone Number *
Doctor's Address *

Property Needs Carts? * Property Needs Carts? NoProperty Needs Carts? Yes

Request Type New Backyard Service Recertify Backyard Service Cancel Backyard Service New Trash/Recycling Service

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Attachments - Please provide multiple attachments by holding CTRL (or command on Mac) and selecting multiple at once.

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