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Senior Discount Application

| Written by Tri State Disposal

Senior Discount Application

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Prior to completing, signing, and providing required documents, please read the Senior Discount Requirements for eligibility; applicants that do not fulfill the requirements may be ineligible. One discount per household/ address.

MM slash DD slash YYYY
Name(Required)
Service Address(Required)
Type(Required)

Along with this application, please provide a copy of the following. If the required documents are not received or do not fulfill requirements, your application may not be processed. There are no retroactive discounts.

  • A copy of the applicant’s valid driver license or state issued identification card with your current address.
  • A copy of your current trash providers (if not already with Tri-State Disposal) bill that indicated the applicant’s name as the account holder and address.
Drop files here or
Max. file size: 50 MB, Max. files: 3.
    1.) A copy of the applicant’s valid driver license or state issued identification card with your current address. 2.) A copy of your current trash providers (if not already with Tri-State Disposal) bill that indicated the applicant’s name as the account holder and address.
    Consent(Required)
    MM slash DD slash YYYY
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