SOLID WASTE TEMPORARY DISCONTINUANCE OF SERVICE
(UP TO 6 MONTHS)
Please email completed form to UtilityBilling@FarmingtonMN.gov
or mail to/drop off at City Hall, 430 Third St., Farmington, MN 55024
Name of Property Owner: _________________________________________________________________
Property Address to have Service Discontinued: _______________
__
______________________________
Re
ason for Discontinuance: _______________________________________________________________
Account Number: ___________________________ Telephone: ________________________________
Garbage Route Day: M T W TH F Date to pick-up containers:__________________
Mailing Address during Absence: _________________________________________________________
I hereby verify (please acknowledge each statement):
I am the property owner and request my solid waste service be discontinued for up to 6 months,
starting on the 1ST day of ________ (month) 202____, and resuming solid waste services on the 1ST
day of _______ (month) 202______;
No solid waste will be on the above property for pickup during this temporary absence;
An administrative fee of $30.00 for temporary discontinuance of solid waste will be added to my
current utility account;
It is my responsibility to call and request the garbage containers to be re-delivered when I return;
(For garbage containers call the city: 651-280-6883. For recycling containers call DSI at 952-469-2239.)
Solid waste charges will resume at the end of this discontinuance, even if I have not called to have
the container re-delivered to the property.
Per MN Statute 115A.941 cities with populations over 5,000 must have solid waste collection service for
every residence and business. I am requesting a temporary discontinuance due to the property being
vacant.
__________________________________ ____________________________
Signature Date
* For city use only:
Verified By: Date:
Approved By: Date:
Garbage Tab (Off): Date:
Garbage Cans (S/O): Date:
Fee Applied: Date:
Reactivate Service: Date:
