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Roll-Off Removal Request Form
Customer Information
Full Name
Full Name
Email
Email
Phone Number (Optional)
Phone Number (Optional)
Mobile Number (Optional)
Mobile Number (Optional)
Customer ID (Optional)
Customer ID (Optional)
Business
Residential
Service Information
Address
Address
City
City
State/Province
Zip/Postal Code
Zip/Postal Code
COMMENT (OPTIONAL)
500
SUBMIT
Providing your Customer ID will help us identify your Waste Management account – it is located on the top-right corner of your Waste Management invoice.