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2. Owner's Name*
3. Owner's Address*
5. Phone Number*
6. Email
8. Address To Be Abated*
9. Number of Units To Be Abated*
11. Account Number*
12. Bill Number*
14. Copy of Signed and Dated Trash/Recycling Contract*

    Attach a copy of both sides of the contract if the terms are on the back. Contracts that are more than 3 years old will not be accepted. The contract must list the location and size of each trash and recycling container, and when and how often each container is serviced. Recycling container sizes and frequency of service must be comparable to the service the Town offers. The hauler must be licensed by the North Attleboro Board of Health.

16. Board of Health Permit

    Must provide a copy of your current North Attleboro Board of Health Permit.

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field