Jonesville, NC · Yadkin County
Adopt-A-Street Cleanup Report
Adopt-A-Street volunteers use this report to document each cleanup and tell the Town of Jonesville where trash and recyclables were left for pickup.
What this form is
The report records the adopting group, contact details, cleanup date and time, area cleaned, pickup location, and volunteer, work-hour, trash-bag, and recycling-bag counts. Adopt-A-Street participants are instructed to send one to the Town after each cleanup and to report the location of trash bags the following working day. The PDF also includes the program agreement and a volunteer waiver of liability.
Who needs it
Adopt-A-Street group contacts should complete and send this report after each cleanup, including the cleanup and trash pickup details.
How to submit it
Mail the report to 1503 NC Hwy 67, Jonesville, NC 28642; fax it to 336-835-3231; or email [email protected]. Call the Town at 835-3426 the following workday to report where bags were left.
About notarization
The cleanup report is submitted without a notary; the included program agreement and liability waiver have signature lines, but the document does not require notarization.
How to submit this form
- 1
Download The PDF
Download the Adopt-A-Street Cleanup Report PDF.
- 2
Complete The Report
Enter the group and contact details, cleanup date and time, area cleaned, pickup location, and activity counts.
- 3
Report The Bag Location
Call the Town the following working day to report where the trash bags were left.
- 4
Send The Report
Mail, email, or fax the completed report to the Town of Jonesville.
Frequently asked questions
- What information does the Adopt-A-Street Cleanup Report request?
- It asks for the adopting group and contact information, cleanup date and time, area cleaned, trash and recycling pickup location, and counts of volunteers, hours, and bags.
- How do I submit the Adopt-A-Street Cleanup Report?
- Mail it to 1503 NC Hwy 67, Jonesville, NC 28642; fax it to 336-835-3231; or email [email protected]. Call 835-3426 the following workday to report where bags were left.
- Do I need a notary for the Adopt-A-Street Cleanup Report?
- No. The report is submitted without a notary. The included program agreement and liability waiver have signature lines, but the document does not require notarization.
- When should Adopt-A-Street groups send in the report?
- The Town asks groups to send a copy after each cleanup and to call the following working day to report where trash bags have been left.
Need something notarized?
This Adopt-A-Street Cleanup Report doesn’t need a notary — but if you have another Jonesville form that does, a commissioned online notary can help.