Residential Cart 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.Which residential service are you requesting?: *Single Family Resident - Carts at siteSingle Family Resident - Carts to be deliveredMulti-Family Resident - Carts at siteMulti-Family Resident - Carts to be deliveredUnincorporated County Resident** - Carts at siteUnincorporated County Resident** - Carts to be delivered**Unincorporated residential densely populated areas include: Residents living on Buena Vista Avenue, Calvary Lane, Edwards Avenue, Marina Avenue, Pleasant View Lane, and Reed Lane.Start service date: *Service address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMailing / Billing address - if different from service address:Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeName(s) on account (Only these names may authorize changes to account): *FirstLastName(s) on account (Only these names may authorize changes to account):FirstLastName(s) on account (Only these names may authorize changes to account):FirstLastPlease supply at least one phone number: (work)Please supply at least one phone number: (home)Please supply at least one phone number: (cell)Email *Do you own or rent the property that you are starting service for?: *OwnRentDeposit: LSI requires a deposit equal to 3 months (1-quarter) of service for all customers. The deposit will be applied to your final bill.If you previously had service with us, please list your previous Livermore address:Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNote: A stop service application must be completed to stop service at this address or the account will remain active. *I acknowledge the above statement (please check box to continue)Garbage collection cart size at the service location: *20-gallon existing32-gallon existing64-gallon existing96-gallon existingNone - I am having a cart deliveredGarbage collection cart size would you like to have delivered: *20-gallon delivered32-gallon delivered64-gallon delivered96-gallon deliveredNone - I am keeping cart on siteRecyclables and Organics are included in the basic collection service prices. The standard sizes delivered with the garbage carts are a 96-gallon recyclables cart and a 96-gallon organics cart. If you would prefer a different size cart for recyclables or organics, a customer service representative will call you and discuss the size available.Deliver a 96-gallon recyclables cart and a 96-gallon organics cartPlease have customer service call me to discuss sizes availablePhone number:There is a charge to change your service level more than once in a twelve-month period - please call our office for fee information. *I acknowledge the above statement (please check box to continue) Rate for Service. 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 .Form of payment for deposit: *Mail check to officePay by credit card (Visa, MasterCard or Discover)Phone number for customer service to call for credit card numberThis credit card will be charged for the 3-month service deposit. It will NOT be charged for ongoing fees. *I acknowledge the above statement (please check box to continue)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 for our General Information, Terms and Conditions.Additional comment/questions:NameSubmit