Public Works

Litter Report

Fill out the form below to submit a Litter Removal Report. You can also download a PDF Version of the Litter Removal Report Form here if you prefer.

Organization Name:

Address:

Phone Number:

Contact Person(s):

Address:

Phone Number:

Date of Cleanup:

County Road #:

Location: (From where to where.)

# of miles:

# of Volunteer Hours (# of volunteers x hours = total)

# of Bags:Trash :

Recycling :

# of Cubic Yards:Trash :

Recycling :