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2. 

3. 
   

   Please complete the fields below to submit your complaint.

5. First Name*
6. Last Name*
8. Address*
10. Phone Number*
11. Email Address*
13. Is your complaint about trash or recycling service?*

    1. Trash
    2. Recycling
15. Please indicate the nature of your complaint:*

    1. My trash / recycling was not picked up.
    2. My trash / recycling container is missing.
17. In the past 8 weeks, how many times has your trash/recycling been missed?*

    1. 1
    2. 2
    3. 3
    4. 4 or more
19. IMPORTANT NOTE

    1. Rumpke trash cans are rented directly through Rumpke.
    2. If you currently rent a trash can and are behind on your rental charges, Rumpke may have taken the trash can back. If you think this could be the problem, please contact Rumpke directly at (513) 742-2900.
    3. If you do not rent a trash can through Rumpke - or you are sure your trash can rental charges are paid to current - please continue with this form submission.
21. Additional Information:
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

* indicates a required field