2. Please complete the online form below to submit your complaint, comment, or observation.
4. Contact Information
6. First Name*
7. Last Name*
9. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Primary Phone Number*
18. Email Address*
20. Service Provider*
    -- Select One --Athens-Clarke County Solid Waste DepartmentAAA SanitationAdvanced Disposal (Former Oconee Waste Transport (OWT))Curbside ServicesJohnson and SonRepublic Services Roll-Off Systems Inc.Waste ProPratt IndustriesOther
21. Type of Feedback:*

    1. Complaint
    2. Comment or Suggestion
    3. Observation
22. Date & Time of Incident or Observation
    Date & Time of Incident or Observation

    Date & Time of Incident or Observation
24. Description / Notes:*
    Please share all details of the incident, suggestion, or observation. If you have a tag or truck number, description of the truck, or any photos, please include them in this form.
26. 1. Upload a photo or document
27. 2. Upload another photo or document
28. 3. Upload another photo or document
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30. 1. Receive an email copy of this form.
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