Litter Pick-Up Request Form

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Please correct the field(s) marked in red below:

Please take a moment to complete the form below.  Please be as specific as possible.

1
Where is the trash/dumping site located?  Please be sure to include road names, route numbers, etc.
 *
2
Is the location of the trash/dump site located on a VDOT-maintained road?  Please note that we cannot remove litter from private property and/or a privately maintained road.
 *
Is the location of the trash/dump site located on a VDOT-maintained road? Please note that we cannot remove litter from private property and/or a privately maintained road.
3

Please indicate the type of litter at the trash/dump site.

Example: tires, mattresses, TVs, etc.

4
Please provide your name, email address and phone number so the Litter Control Officer may contact you regarding your litter removal request.
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.