In order for an exemption to be granted, all required documentation must be submitted with this request form and the form must be a signed original.
There is no exemption for the storm drainage fee. If an exemption is granted, storm drainage fees still apply, will be billed to each account and will continue to accrue. A late charge of 10% of the amount late will be imposed for payments not received by the due date listed on your bill.
By signing this form and requesting an exemption from regular/weekly garbage collection service, I certify that I understand the required provisions of the Garbage Collection Exemption Policies, and I am within compliance for the requested exception. I agree to periodic inspection of my property by City Staff to determine compliance with this application. I also understand that, if the City of Elk Grove Community Enhancement Department determines that a Code violation has occurred because a specific property’s trash or yard debris is creating a nuisance or threatening public health, any approved exemption request will be immediately rescinded, trash carts will be dropped off and billing will commence. The City of Elk Grove will continue to bill for this service until such time as an approval is on file. The City reserves the right to have 30 days to review all requests once all required documentation has been received.
I declare, under penalty of perjury, under the laws of the State of California, that all information submitted to the City of Elk Grove is accurate to the best of my knowledge.