READ THEN FILL OUT FIELDS BELOW TO PROCESS FORM!

* All solid waste customer locations with an active utility account are eligible for one free special pickup per calendar year.

* Free special pickups are ONLY completed on Monday, Tuesday, or Thursday, EXCLUDING weeks that include a City-observed holiday where city offices are closed for business.  Observed holidays are shown on City Calendar.  Available days in a week may also be limited due to inclement weather or unforeseen circumstances. 

* Please review the Special Pickup Rules to be sure any item is eligible for this program.  

* Fill out form completely with three possible pickup dates.

* Include email for scheduled date confirmation.

* Have items set out by 8 AM on your confirmed date ONLY (items will be picked up between 8 AM to 5 PM).

* If the free annual pickup for your location has been used, there is a minimum charge of $50.  Call Public Works at 573-243-2300. DO NOT FILL OUT THE FORM.

* If you haven't received your confirmation email, please check your junk folder then call Public Works at 573-243-2300.

* For more information prior to submitting a request, please contact Public Works at pickup@jacksonmo.org or 573-243-2300. 

* To request a specific day for your free special pickup, please complete the form below and click on Submit button.  Wait until the confirmation page loads before you leave the website.

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NEXT SPECIAL PICKUP IS AVAILABLE ON TUESDAY, SEPTEMBER 27, 2022. 

Utility Account Number (if known): 

Last Name: 

First Name:  

Phone Number:  

Email Address or Other Contact Method 

YOUR EMAIL ADDRESS IS USED ONLY TO CONFIRM PICKUP DATE AND CLARIFY ANY INFO FOR THE SPECIAL PICKUP.  DUE TO DEPARTMENTAL WORKLOAD, RESPONSES TO EMAILS MAY BE HANDLED FASTER THAN PHONE RESPONSES (enter "Phone only" if no email address):

Location's Address

Street Address: 

Unit (if applicable):  

REMEMBER TO REQUEST A MONDAY, TUESDAY, OR THURSDAY DURING A FULL WORK WEEK!  DON'T PUT OUT ANY ITEMS TO BE PICKED UP UNTIL YOU RECEIVE CONFIRMATION FROM THE CITY. 

DATES REQUESTED for Special Pickup (request first, second, and third choice - each date must be a Mon., Tue., or Thur.):  

First Choice (MM/DD):  

Second Choice (MM/DD):  

Third Choice (MM/DD):  

Notes:   

AFTER CLICKING SUBMIT BUTTON,WAIT FOR THE CONFIRMATION PAGE TO LOAD.