Submit a request

Use dashes: xxx-xxx-xxxx

Name of group or organization

For Supply Requests: Requests with less than a week's notice may not be possible due to the availability of supplies.

Line 1: Street Address; Line 2: City, State, Zip *Must be in Scott or Rock Island County

Anticipated number of volunteers

Check all that apply. Supply quantities will be based on number of volunteers.

Between 8:30am–4:00pm weekdays.

Between 8:30am–4:00pm weekdays

Leave blank if you're planning to put the trash collected in your home garbage.

Please enter more details of your request. If none, enter "N/A". A member of our staff will respond as soon as possible.

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