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Neighborhood 40-Yard Roll-Off Container Request Form

Please reach out to your neighborhood contact in advance of requesting a roll-off container. To find your neighborhood contact information, please visit the neighborhood's page here.

  • Date Format: MM slash DD slash YYYY
  • Requestor's Name * Required
  • If yes, please enter Neighborhood Representative's name
  • Please enter a number from 0 to 5.
    Each Neighborhood can receive up to five (5) roll-off containers each fiscal year
  • 1st Container Address * Required
  • 2nd Container Address
  • 3rd Container Address
  • 4th Container Address
  • 5th Container Address
  • A person can request up to 50 flyers. Copies of clean-up flyers are available for you to promote in your neighborhood.
  • Flyers to be picked up or mailed: * Required
  • Temporary no parking street signs are approved by the Santa Ana Police Department and are available for pick up at Santa Ana City Hall. You may post your signs 48 hours before the clean-up day.
  • This field is for validation purposes and should be left unchanged.
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