Clean Up Cuyahoga!

Litter Clean-up Supply Request

Thank you for your interest in borrowing litter clean-up supplies from the Cuyahoga County Solid Waste District. Your organization/group and litter event must be located in Cuyahoga County.

Supplies are available for loan on a first-come, first-served basis. They must be returned to the District within one week of your event.

Supply recipients will complete an online Clean Up Cuyahoga report via Survey Monkey so we can track the amount of trash and recyclables collected at your event. Participants are encouraged to take photos and video of the event to include with their report.

Please complete the form below and your request will be reviewed within 5 business days. Thank you!

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* 1. Organization Name

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* 2. Organization Address

Street

City

Zip Code

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* 3. Contact First and Last Name

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* 4. Contact E-mail address:

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* 5. Contact Phone Number

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* 6. Someone from my organization is able to pick up and return (one week after event date) supplies from the Cuyahoga County Solid Waste District at 4750 E. 131st St, Garfield Heights, OH 44105 during regular business hours Monday through Friday, 8:30am-4:30pm.

I understand that items must be clean when returned.

Yes

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* 7. Date of Clean-up Event

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* 8. Proposed PICK UP date(s) and time(s). Enter at least two dates and times. Time does not need to be specific -- give a range like morning or afternoon. Specific times will be arranged individually. Pick up must be during normal business hours Mon-Friday 8:30am-4:30pm, preferably one week or less before your event.

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* 9. Proposed RETURN date(s) and time(s). Enter at least two dates and times. Time does not need to be specific -- give a range like morning or afternoon. Specific times will be arranged individually. Return must be during normal business hours Mon-Friday 8:30am-4:30pm, preferably one week or less after your event.

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* 10. Location of Event

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* 11. Number of people expected at event:

Adults

Youth

Youth Ages/Grade levels

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* 12. Please select which supplies you would like to borrow. Supplies will be assembled based upon your group count.

Cloth gloves

5 gallon buckets

Litter grabbers

Trash bags

Safety vests

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* 1. Organization Name

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* 2. Organization Address

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* 3. Contact First and Last Name

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* 4. Contact E-mail address:

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* 5. Contact Phone Number

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* 7. Date of Clean-up Event

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* 10. Location of Event

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* 11. Number of people expected at event:

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* 12. Please select which supplies you would like to borrow. Supplies will be assembled based upon your group count.

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* 13. Please tell us anything else about your group or event that you think would be helpful.