Sanitation Department
1121 S 2nd Avenue, Pocatello, ID 83201
208-234-6192
Form Section 1
Curbside Recycling Service Opt-In Form
Name
*
First Name
*
Last Name
*
Address
*
Street Address
*
City
State
Zip
Utility Account Number
Type of Account
Residence
Business
Home Phone
Business/Work Phone
Email
*
disregard this
