Dumpster Exemption Request

Solid Waste Disposal Authority of Baldwin County, AL, Inc. Service Request

Dumpster Exemption
*required fields

Account Number

Contact Information

Company Name

*Owner's Last Name

Owner's First Name

*Phone Number

Middle Initial

Alternate Number

Email

I own property in the unincorporated area of Baldwin County and request exemption from solid waste due to being in a current contract with:

Contract Name

Select if Applies

This dumpster is located at my place of business

Mailing Address

Street Address

*City

*Zip Code

State

Select if Applies

My personal property is adjacent or conjoined with my business property and I also request to dispose of my waste in that dumpster.

Street Address

City

Zip Code

State

*** Your application request is not completed until a Solid Waste agent contacts you for additional required documentation ***

*Owner / Designee's name submitting the request

*Acknowledgement

I hereby certify that I am the owner of this property of the legal representative of the property owner and that the above information is true and correct to the best of my knowledge and I hereby give permission for the Baldwin County Health Department AND the Baldwin County Commission or its designee to investigate any and all of the above information.

I acknowledge that it is a Class C Felony to falsely complete a written instrument required by a public office. (Alabama Criminal Code 13-A-9-3). ****RETURN THIS FORM TO THE ABOVE MENTIONED ADDRESS****

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