Shoemakersville, PA · Berks County
Dumpster/POD Pre-Authorization Form
Applicants use this form to request Borough pre-authorization for a proposed dumpster or POD at a specified location in Shoemakersville.
What this form is
This form requests Borough approval to place a dumpster or POD at a proposed location. It asks for applicant and facility-owner contact details, the placement location, container size, dates, and any extension request. The form states that placement may last 30 days, with up to two 30-day extensions requested, and requires a copy of the owner’s or lessor’s certificate of insurance on file before placement.
Who needs it
Anyone seeking Borough approval to place a dumpster or POD at a proposed location should complete this form.
How to submit it
Submit the form to the Borough Office at 846 Main St., Shoemakersville, PA 19555; the form also lists [email protected]. A certificate of insurance must be on file before placement.
About notarization
This document is signed without a notary; the applicant signs and dates the form, and the listed insurance certificate is not identified as notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Dumpster/POD Pre-Authorization Form.
- 2
Complete The Application
Enter applicant and facility-owner details, the proposed location, size, placement date, and any extension request.
- 3
Gather The Insurance Certificate
Ensure a copy of the dumpster or POD owner’s or lessor’s certificate of insurance is on file before placement.
- 4
Submit To The Borough
Submit the completed form to the Borough Office at 846 Main St., Shoemakersville, PA 19555.
Frequently asked questions
- Do I need a notary for the Dumpster/POD Pre-Authorization Form?
- No. The form provides signature and date fields but no notary block. It asks for a certificate of insurance to be on file before placement; it does not say that certificate must be notarized.
- How do I submit the Dumpster/POD Pre-Authorization Form?
- The form lists the Borough Office at 846 Main St., Shoemakersville, PA 19555, and [email protected]. It also says a copy of the dumpster or POD owner’s or lessor’s certificate of insurance must be on file before placement.
- What information does the form request?
- It asks for applicant and facility-owner contact details, the proposed location, dumpster or POD size, placement date, and any requested extension, along with the applicant’s signature and date.
- How long may a dumpster or POD remain on site?
- The form says a dumpster or POD may be on site for 30 days, and the applicant may request up to two 30-day extensions.
