On-Line Recycling Request Form

On-Line Request Form
Waste Management Program

State of North Carolina
Department of Administration
Facility Management Division

Name:

Department/Agency:

Address:

Phone:

Building/Facility Name:

Requester Information

What would you like done?

Yes

Collect Paper Recycle Bins
Collect Plastic Bottle Bins
Collect Aluminum Can Bins
Collect Newspaper Bins
Collect Magazine/Glossy Bins
Collect Telephone Books
Deliver Extra Recycling Bins
Missed Collection or Location

Specific details about your request

Facility Management Division-North Carolina Department of Administration
Please contact the Waste Management Coordinator with any questions or problems with this form.
Waste Management Coordinator