City of Hot Springs Form Center

2. CITY RESIDENTS ONLY
   This service is only for city residents in residential homes. This service is NOT for commercial businesses. City residents can have up to one container per household. If you have any questions, please call the Solid Waste Department at 501-321-6911.
4. First Name*
5. Last Name*
7. Street Number*
8. Street Name*
9. Street Type*
10. Apt #
12. City
13. State
14. Zip*
16. Area Code & Phone Number*
    (000) 000-0000
17. Email Address*
Leave This Blank:


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

    This field is not part of the form submission.

21. Submit

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