2. Request for Solid Waste Fee Reduction   

   Short-Term Rental Collection Route

4. This form will be used to evaluate an application for reduction of the solid waste fees implemented for short-term residential rental properties served by roll-carts. Fee reductions may apply to properties that are only used for second homes, vacation homes, or annual rentals. This request for reduction will be evaluated and verified using public records and additional documentation may be requested. Applications will only be considered from properties within the beachfront collection area that are not being used for short-term or transient rentals.

6. Utility Billing Account # (EX. 1-11111-11)*
8. Service Address*
10. City*
11. State*
12. Zip Code*
14. First Name*
15. Last Name*
17. Phone Number*
19. Email Address*
21. I am the owner of the property*

    1. Yes
    2. No
23. If this property is used as a long-term rental, the name of the current tenant is:
25. Tenant Phone Number
27. Tenant Email Address
29. Electronic Signature Agreement*

    The person signing this form must be the utility account holder. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
31. Electronic Signature*
33. I understand and acknowledge that by checking each box below, I am agreeing to the following statements:
35. I affirm this property is not being used for short-term or transient rental purposes. *

    1. I agree
37. I am aware that I will not be provided additional weekend collection service and may not place trash curbside on the weekends.*

    1. I agree
39. I am aware I may be placed back on the short-term rental collection route and subject to the applicable higher rate if trash is routinely collected from this service address on the weekends. *

    1. I agree
41. If I elect to use this property as a long-term, short-term, or transient rental, I will notify Utility Billing and obtain a business license from the Revenue Department prior to engaging in rentals.*

    1. I agree

43. You will only be contacted if your form is denied

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field