MANDATORY GARBAGE COLLECTION
EXEMPTION REQUEST FORM

Garbage service is mandatory in Franchise District 3 (generally defined by the area within Placer County east of Donner Summit to Lake Tahoe) if the home or business is occupied in any form during a defined service quarter (Placer County Code Section 8.16.220). If a home/business will be unoccupied for an entire service quarter, this form may be submitted to request an exemption from service for that service quarter.

Property owners must submit this Exemption Request Form to Tahoe Truckee Sierra Disposal within the required timeframe and only for the upcoming quarter; accounts will not be adjusted in arrears. Only one quarter exemption request may be made at a time. Homes/businesses that have been exempted from service will be checked for occupancy; if found occupied in any form, service will start, and the owner will be billed for the entire service quarter.

Timeframe to Submit Exemption
Request Form		 Quarter
Requested for
Exemption		 Service Quarter Dates Home/Business
Must be Unoccupied for
Service Exemption

Signature:

* By filling in your name, you agree and acknowledge that:

  1. your application will not be signed in the sense of a traditional paper document,
  2. by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and
  3. you may still be required to provide a traditional signature at a later date.