Submit a request – Waste Commission of Scott County

Please tell us about your inquiry.

Your email address

Subject

Name

Full name

Phone Number

Use dashes: xxx-xxx-xxxx

Organization

Name of group or organization

Event Location

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

Event Date

Expected Attendance(optional)

How many attendees do you expect?

How many recycling containers would you like?

How many garbage containers would you like?

Pick Up or Delivery

Delivery only available for requests over 20 containers.

Pickup date

Weekdays only.

Pickup time

Use 0:00a/pm format, ex. 10:00am

Return date

Weekdays only.

Drop-off time

Use 0:00a/pm format, ex. 10:00am

Date for event trailer delivery

Weekdays only.

Time for event trailer delivery

Use 0:00a/pm format, ex. 10:00am

Where should event trailer be delivered?

Please include street, city, state, and zip code.

Date for event trailer pickup

Weekdays only.

Time for event trailer pickup

Use 0:00a/pm format, ex. 10:00am

Description

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

I have read and understand the iLivehere guidelines for loaned event recycler use and will return all event recyclers.

I agree to return all borrowed containers within one week of the event.

Check the box to acknowledge that you understand the return requirement.

Attachments(optional)

Add file or drop files here