Stop Service Request – Livermore Sanitation

Residential & Multi-Family Customers Stop Service Request

*Required

If you are unable to complete or submit this form, please call us at 925-449-7300.

Which service are you requesting to stop?: *

Single family residential stop service
Multi-family residential stop service

Stop service date (LSI will stop service on your service date only): *

Customer name: *

First

Last

Site address: *

Address Line 1

City

State

Zip Code

Forwarding address:

Address Line 1

City

State

Zip Code

Please supply at least one phone number: (work)

Please supply at least one phone number: (home)

Please supply at least one phone number: (cell)

Email *

Please have your carts at the curb by 6;00 a.m. on the day you are requesting we stop service. Your carts will be serviced as normal on your last service day and a second truck will remove the carts later that day. Billing will continue until ALL carts are removed. *

I acknowledge the above statement (please check box to continue)

If possible, please provide serial numbers of carts you have. Numbers are located on the front of carts (example: G32 000012):

Garbage cart serial #:

Recyclables cart serial #:

Organics cart serial #:

If you paid a deposit when you started service, the deposit will be applied to your final bill. If you have a credit on your account a refund check will be mailed within 60 days after date service is stopped. *

I acknowledge the above statement (please check box to continue)

Submission of this form will serve as your signature: *

I acknowledge the above statement (please check box to continue)

Additional comment/questions:

Name