Handy Hauler Service Request *Required If you are unable to complete or submit this form, please call us at 925-449-7300. Please enable JavaScript in your browser to complete this form.To request a 4-Cubic Yard Handy Hauler please complete all the required information below and submit.Account number:Customer name: *FirstLastEmail *Company / Owner Name:Service address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeService phone number: *Requested delivery date: *Delivery and / or service times cannot be guaranteed. A pre-payment is required for each handy hauler. Please see handy hauler rates for delivery and removal fee / removal of full container with delivery of empty container. *I acknowledge the above statement (please check box to continue)I have read the rate sheet / misc. rate sheet and acknowledge the rate for this service. I understand that service cannot begin without acknowledgement of the applicable service rate. *I acknowledge the above statement (please check box to continue)Click here for Rate for Service . I have read the billing and service guidelines. We will not be able to start your service until you acknowledge these guidelines. *I acknowledge the above statement (please check box to continue)Click here for Handy Hauler Billing / Service Guidelines . I have read the list and will not dispose of any hazardous waste items in any Livermore Sanitation collection cart or bin. We will not be able to start your service until you acknowledge this notice. *I acknowledge the above statement (please check box to continue) Click here for Hazardous Waste Policy Notice.I have read the liability waiver. We will not be able to start your service until you acknowledge the liability waiver. *I acknowledge the above statement (please check box to continue)Click here for Liability Waiver .Liability waiver name: *Liability waiver site address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you have a completed LSI credit application on file?: *Yes - acknowledge and submitNo - click link belowIf you do not have a LSI Credit Application on file, please fill-out request form and submit. Click here to submit LSI Credit Application.By having services and/or an account with LSI, you agree to our General Information, Terms and Conditions. *I acknowledge the above statement (please check box to continue)Click here or our General Information, Terms and Conditions. Please type your name as your signature: *By submitting this form I acknowledge I have read all required guidelines and liability. *I acknowledge the above statement (please check box to continue)Additional comment/questions:PhoneSubmit