I, the undersigned owner/tenant of the service property listed below do hereby make an
application to the City of Banning for a refund of Trash Monthly Service fees for the period
stated below. I certify that the said premises were vacant and unoccupied for _________
consecutive days. (Not less than 60 and not more than 180).
Customer Name: ________________________________
Service Address: ________________________________
Utility Account Number: _________________________
Vacancy Dates: __________, 20____ to ___________, 20____.
Service Type: __Mobile Home __Apartment __ Single Family Residence __ Commercial – Please check one.
I hereby certify under penalty of perjury that the foregoing is true and correct.
Executed at ____________(City), _______ (State), this ______ day of _________, 20____.
Signed: ________________________________ (Owner/Tenant)
Daytime Phone Number: __________________
Refund requests must be made on this form, provided by the City and the statements contained therein
shall be certified by the applicant as true and correct.
A refund shall be made for all charges collected by the City for premises which become vacant for a
period of sixty (60) days or more, consecutively. The maximum days per application is 180 days. No
refund application will be accepted if submitted more than three months (3) after the date of such vacancy
occurred. (Ord.573, Sec. 20-32: Ord, 575, Sec. 11-39).
Applications for refunds on commercial or residential bin services will not be accepted.
Please submit application to:
City of Banning – Trash Refunds
P.O. Box 985
Banning, CA 92220
City of Banning Utility Billing Department
99 East Ramsey Street
Banning, CA
Phone: 951-922-3185
Hours: Monday – Thursday 7:00 am to 5:00 pm
Application for Trash Refund
