Vinton, VA · Roanoke County

No notary required

Additional Refuse Cart(s) Request Form

Vinton residents or property owners use this form to request additional refuse carts for a property and acknowledge the monthly charge.

What this form is

This form lets a Vinton resident or property owner request additional refuse carts for a property. The signer acknowledges a $5 monthly charge per cart, included in the Western Virginia Water Authority water and sewer bill, and that delinquent balances may result in cart removal. The form asks for the request date, name, property address, phone number, number of carts, and signature.

Who needs it

A Vinton resident or property owner who wants additional refuse carts for a property should complete and sign this request form.

How to submit it

Download and save the form, complete it, then save it and email it to [email protected].

About notarization

This document is signed without a notary; the resident or property owner signs and dates the request.

How to submit this form

  1. 1

    Download the Form

    Download and save a copy of the form to your computer or device before filling it in.

  2. 2

    Complete the Request

    Enter the request date, name, property address, phone number, and number of additional carts.

  3. 3

    Sign and Date

    Sign and date the request, acknowledging the stated monthly charge and other terms.

  4. 4

    Email the Form

    Save the completed form and email it to [email protected].

Frequently asked questions

Do I need a notary for the Additional Refuse Cart(s) Request Form?
No. The form has no notary block; the resident or property owner signs and dates the request.
How do I submit the Additional Refuse Cart(s) Request Form?
Download and save the form before filling it in. Save the completed form and email it to [email protected].
What information does the form ask for?
It asks for the request date, full name, property address, phone number, number of additional carts, and the resident's or property owner's signature.
What charge does the signer acknowledge?
The form states that each additional cart costs $5 per month, billed through the Western Virginia Water Authority water and sewer bill. Charges are not prorated or adjusted.

Need something notarized?

This Additional Refuse Cart(s) Request Form doesn’t need a notary — but if you have another Vinton form that does, a commissioned online notary can help.