Step 1 - Type of Feedback (please select one of the following):

Customer Satisfaction Survey (Only - In English and Spanish)
Information Request 
Suggestions  
Compliment  
Complaint  
Service Request (i.e. Bulky Items Pickup, Missed Collection, New Container, etc...)

 Step 2 - Contact Information
Entries preceded by an asterisk ( * ) are required for proper processing.

 Step 3 - Whom/What does this concern (please select one of the following):

Services  
Employee  
Other
If Other, please specify:

 Step 4 - Send to a Recipient:
Do NOT use this form for Sewer Service Charge Adjustment Request.
For SSC Adjustment click one of the following: Residential (PDF) or Commercial (PDF)

Not Sure - want Bureau Webmaster to forward  
Recycling and Refuse Collection (Residential)  
Recycling (Multifamily Residential)   
Sewer Service Charges (general information only)  
Stormwater Management Division (Stormwater Program)  
Treatment Plants  
Wastewater Collection (Sewer and Catch Basin Cleaning, etc.)  
Solid Resources Citywide Recycling (Business Recycling,
        S.A.F.E Centers, HHW/Used Oil, Organics, Composting Workshops)  
Solid Resources Engineering and Construction  
Industrial Waste Management Program  

Step 5 - Briefly explain the situation(please be specific):

Step 6 - Click submit to send the form, or click clear to erase all entries.