Jurupa Valley, CA · Riverside County
Self-Haul Permit Application
Property owners and businesses use this application to request a permit to self-haul trash, recycling, and organic waste from one address.
What this form is
Use this application to request a Jurupa Valley self-haul permit for one property address. It asks for applicant and property details, the materials to be self-hauled, and the names and addresses of disposal facilities. Applicants certify that they understand the requirements, including separating waste streams and submitting delivery receipts each calendar quarter; approved permits expire December 31.
Who needs it
Residents and businesses that want to self-haul waste from a Jurupa Valley property must complete an application for each address.
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 application is signed without a notary; the applicant signs and dates the certification on the form.
How to submit this form
- 1
Download the Application
Download the Self-Haul Permit Application PDF.
- 2
Complete the Application
Enter applicant and property details, select the materials to be self-hauled, and identify disposal facilities.
- 3
Sign and Date
Read the certification, then sign and date the application.
- 4
Submit the Application
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Self-Haul Permit Application?
- No. The application has no notary block; the applicant signs and dates the certification on the form.
- How do I submit the Self-Haul Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for applicant and property details, the materials to be self-hauled, and the names and addresses of facilities used for disposal.
- How long is an approved self-haul permit valid?
- The form says permits are valid for one calendar year and expire on December 31. It also says permits may be renewed annually and are not prorated.
Need something notarized?
This Self-Haul Permit Application doesn’t need a notary — but if you have another Jurupa Valley form that does, a commissioned online notary can help.