What does the solid waste service acknowledgment form do?

It records the property owner's acknowledgment of responsibility for establishing a solid waste service account and paying collection charges for the listed address.

Who should complete this form?

The form is for a property owner providing the service address and acknowledging responsibility for solid waste collection service and charges.

Do I need a notary for the solid waste service acknowledgment form?

No. The form requires an owner signature and date, and does not identify any attachment or related sworn step.

Portola, CA · Plumas County

No notary required

Mandatory Solid Waste Collection Service Acknowledgment Form

This form records a property owner's acknowledgment of responsibility for establishing and paying for solid waste collection service at an occupied property.

What this form is

The form acknowledges that the property owner is responsible for establishing an account with the city's solid waste franchisee and paying collection charges for the listed address. It also states that charges continue until the franchisee receives written notice to stop service. The form asks for the owner's name, property and mailing addresses, phone number, signature, and date.

Who needs it

A property owner completing the acknowledgment for an occupied residential, multifamily, or commercial property within city limits needs this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; it does not identify any attachment or related sworn step.

How to submit this form

1
Download The Form
Download the Mandatory Solid Waste Collection Service Acknowledgment Form.
2
Complete The Form
Enter the property owner's name, service and mailing addresses, city, state and ZIP code, and home phone.
3
Sign And Date
Read the acknowledgment, then provide the owner's signature and date.
4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the solid waste service acknowledgment form do?: It records the property owner's acknowledgment of responsibility for establishing a solid waste service account and paying collection charges for the listed address.
Who should complete this form?: The form is for a property owner providing the service address and acknowledging responsibility for solid waste collection service and charges.
Do I need a notary for the solid waste service acknowledgment form?: No. The form requires an owner signature and date, and does not identify any attachment or related sworn step.
How do I submit the solid waste service acknowledgment form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Mandatory Solid Waste Collection Service Acknowledgment Form doesn’t need a notary — but if you have another Portola form that does, a commissioned online notary can help.