Community Chipping Request Form

If you would like a printable version of the request form to fill out and mail in
or drop off at our office, here is the PDF.

Name:
Physical street address:
Nearest cross street:
City or Community:
State:
Zip:
Phone:
Are you the property owner?: Yes No
If not, owners name:
Number of piles to be chipped:
Size of piles:
Where is the material located: County Road Driveway
Other Location:
What would you do with this material if this program were not available: Burn it Chip it myself Leave it on the property
Take it to the Transfer Station
If you chose transfer station, miles round trip would that be?:
How many hours have you spent:
Type of material in piles:

 

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