Lewisburg, PA · Union County

No notary required

Special Pickup Refuse & Rubbish Application

Lewisburg Borough’s special pickup application lets residents request collection of listed refuse and rubbish items and calculate the total cost.

What this form is

Use this application to request a special pickup of refuse and rubbish items from Lewisburg Borough. It asks for your name, address, telephone number, date, and account number, then provides item codes, prices, quantities, and total-cost fields. The form states that money paid is non-refundable and notes that new fees are effective January 1, 2025.

Who needs it

Lewisburg Borough residents requesting special pickup of items listed on the application can use this form to make their request.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document does not require a notary; it has no notarized or sworn attachment, and the form asks for the applicant’s name, address, telephone number, and date.

How to submit this form

  1. 1

    Download The Application

    Download the Special Pickup Refuse & Rubbish Application.

  2. 2

    Complete The Request

    Enter your name, address, date, account number, and telephone number.

  3. 3

    List Pickup Items

    Enter the quantity for each applicable item and calculate the total cost.

  4. 4

    Submit The Application

    Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What is the Special Pickup Refuse & Rubbish Application?
It is Lewisburg Borough’s application for requesting special pickup of listed refuse and rubbish items. It includes item prices, quantity fields, and a total-cost field.
Who uses this special pickup application?
Residents requesting pickup of items listed on the form can provide their name, address, telephone number, date, and account number.
Do I need a notary for the Special Pickup Refuse & Rubbish Application?
No. This document does not require a notary and lists no notarized or sworn attachment.
How do I submit the special pickup application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Special Pickup Refuse & Rubbish Application doesn’t need a notary — but if you have another Lewisburg form that does, a commissioned online notary can help.