Do I need a notary for the Request for Rolloff or Temporary Dumpster?

No. The form has a customer signature and date line but no notary block. It lists no sworn statement or notarized attachment.

How do I submit the dumpster request?

To order a bin, call (805) 986-6524 or walk in at City Hall, 250 N Ventura Road. The form does not list an email or online submission option.

What information does the request ask for?

It asks for the requested delivery date, name, phone number, driver’s license, Social Security or tax ID, billing and delivery addresses, and special delivery instructions.

How do I request removal or emptying?

For a bin to be emptied or removed, or for more information, the form says to call (805) 986-6650.

Port Hueneme, CA · Ventura County

No notary required

Request for Rolloff or Temporary Dumpster

Port Hueneme customers use this request to order a temporary dumpster or rolloff and provide delivery, billing, and contact information.

What this form is

Use this form to request a temporary dumpster or rolloff from the City of Port Hueneme and provide the requested delivery date, customer details, billing and delivery addresses, and any special delivery instructions. It lists container sizes, restrictions, weight limits, and charges, and asks the customer to agree to the city’s service terms and sign and date the request.

Who needs it

A customer seeking delivery of a temporary dumpster or rolloff from the City of Port Hueneme needs this request.

How to submit it

To order a bin, call (805) 986-6524 or walk in at City Hall, 250 N Ventura Road.

About notarization

This request is signed and dated without a notary; the document lists no sworn statement or notarized attachment.

How to submit this form

1
Download The Request
Download the Request for Rolloff or Temporary Dumpster.
2
Complete The Request
Enter the requested customer, delivery, and billing details, then sign and date the form.
3
Review Container Details
Check the listed container sizes, restrictions, weight limits, charges, and service terms.
4
Order The Bin
Call (805) 986-6524 or walk in at City Hall, 250 N Ventura Road.

Frequently asked questions

Do I need a notary for the Request for Rolloff or Temporary Dumpster?: No. The form has a customer signature and date line but no notary block. It lists no sworn statement or notarized attachment.
How do I submit the dumpster request?: To order a bin, call (805) 986-6524 or walk in at City Hall, 250 N Ventura Road. The form does not list an email or online submission option.
What information does the request ask for?: It asks for the requested delivery date, name, phone number, driver’s license, Social Security or tax ID, billing and delivery addresses, and special delivery instructions.
How do I request removal or emptying?: For a bin to be emptied or removed, or for more information, the form says to call (805) 986-6650.

Need something notarized?

This Request for Rolloff or Temporary Dumpster doesn’t need a notary — but if you have another Port Hueneme form that does, a commissioned online notary can help.