Do I need a notary for the garbage and refuse reimbursement application?

No. The application asks the applicant to certify, sign, and date the information, but it has no notary block. It requests copies of bills and a service agreement or contract.

What documents must I include with the application?

Include copies of all bills for which reimbursement is sought, showing the number of units collected for each period, and a copy of the service agreement or contract.

What information does the application request?

It requests applicant and property information, the association or group name and address, number of units, service provider, collection costs, payment responsibility, reimbursement amount, and reimbursement period.

West Orange, MT · Essex County

No notary required

Application for Reimbursement for Garbage and Refuse Collection Costs

This application requests reimbursement for garbage and refuse collection costs from West Orange and is completed by the person or group seeking reimbursement.

What this form is

This West Orange application is for requesting reimbursement for garbage and refuse collection costs pursuant to Chapter 11 of the township’s revised general ordinances. It asks for applicant and property details, the service provider, collection costs and period, and the total reimbursement sought. Applicants must include copies of bills showing the units collected for each period and a copy of the service agreement or contract.

Who needs it

A person, association, or group seeking reimbursement for garbage and refuse collection costs for a West Orange property should complete this application.

How to submit it

Return the application and copies of bills to John C. Ditinyak, Chief Financial Officer, Township of West Orange, 66 Main Street, West Orange, NJ 07052.

About notarization

This application is signed and dated without a notary; it requests bills and a service agreement or contract, but no sworn or notarized attachment.

How to submit this form

1
Download The Application
Download the West Orange application for reimbursement of garbage and refuse collection costs.
2
Complete The Application
Provide the requested applicant, property, service, cost, and reimbursement period information, then certify, sign, and date the application.
3
Gather Supporting Documents
Include copies of the bills showing units collected for each period and a copy of the service agreement or contract.
4
Return The Application
Send the application and copies of bills to the Chief Financial Officer at the address printed on the form.

Frequently asked questions

Do I need a notary for the garbage and refuse reimbursement application?: No. The application asks the applicant to certify, sign, and date the information, but it has no notary block. It requests copies of bills and a service agreement or contract.
What documents must I include with the application?: Include copies of all bills for which reimbursement is sought, showing the number of units collected for each period, and a copy of the service agreement or contract.
How do I submit the garbage and refuse reimbursement application?: Return the completed application and copies of bills to John C. Ditinyak, Chief Financial Officer, Township of West Orange, 66 Main Street, West Orange, NJ 07052.
What information does the application request?: It requests applicant and property information, the association or group name and address, number of units, service provider, collection costs, payment responsibility, reimbursement amount, and reimbursement period.

Need something notarized?

This Application for Reimbursement for Garbage and Refuse Collection Costs doesn’t need a notary — but if you have another West Orange form that does, a commissioned online notary can help.