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Trash/Recycling Missed Pickup Form

2. Please complete the online form below to submit your complaint.
   For immediate service please call the DPW at 201-529-3344 and speak to Pam (ext. 103) or Vicky (ext. 104).

   For immediate service please call the DPW at 201-529-3344 and speak to Pam (ext. 103) or Vicky (ext. 104).

4. Contact Information

6. Name:*

8. Address:*

10. Telephone Number:*

12. Email Address:

14. Date of Missed Pickup*
    Date of Missed Pickup

16. Please Indicate Type of Missed Pickup*

    1. Trash
    2. Recycling
Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field