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CUSTOMER FORMS

Here our customers can find all the forms they may need, and all conveniently located in one place.

SERVICE PAYMENT FORMS

Jerry's Sanitation strives to offer flexible payment options for their customers. If you are a current Jerry's Sanitation customer and are interested in starting one of these payment methods, please fill out the corresponding form and send it to so we can get you started!

 

** Customers who pay the city for their garbage service are not eligible for these payment options.

Please contact your city hall to discuss what kind of payment methods they have available.**

 AUTOPAY - CREDIT CARD 

Authorization Form for Automatic Monthly Payments

This form is for existing Jerry's Sanitation customers who would like to pay their garbage service bill via automatic monthly payments withdrawn from a credit or debit card. Once this form has been properly filled out and returned, no additional authorization will be required in order for payments to be processed. 
Automatic payments can be cancelled or skipped as long as there has been notification before the payment date.

 AUTOPAY - BANK TRANSFER 

Authorization Form for Automatic Monthly Payments

This form is for existing Jerry's Sanitation customers who would like to pay their garbage service bill via automatic monthly payments withdrawn from a checking or savings account. Once this form has been properly filled out and returned, no additional authorization will be required in order for payments to be processed. 

Automatic payments can be cancelled or skipped as long as there has been notification before the payment date.

 PAPERLESS BILLING 

Authorization Form for Electronic Invoicing

This form is for existing Jerry's Sanitation customers who would like all their invoices to be sent to their email address. Within this email, Jerry's Sanitation provides the option for their customers to pay these invoices directly online via their desired payment method.
Paperless billing can be cancelled anytime as long as there has been notification before the next billing date.

Service Payment Forms
Misc. Documents

OTHER MISC. FORMS & DOCS

Employment Application

New Customer Form

SMS Alert Form

Recycling Guidelines

Roll-Off Dumpster Guidelines

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