Shoemakersville, PA · Berks County

No notary required

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. 1

    Download The Form

    Download the Dumpster/POD Pre-Authorization Form.

  2. 2

    Complete The Application

    Enter applicant and facility-owner details, the proposed location, size, placement date, and any extension request.

  3. 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. 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.

Need something notarized?

This Dumpster/POD Pre-Authorization Form doesn’t need a notary — but if you have another Shoemakersville form that does, a commissioned online notary can help.