Form Builder

Required fields are marked with asterisks (*)

 Sanitary Landfill Application

 

 

 

Bill C/O

I hereby apply to the City of Medicine Hat for permission to use the Sanitary Landfill between the hours of 8:00 a.m. and 5:00 p.m., Monday through Saturday.

By selecting "I agree," I will conform to the by-laws and regulations of the City of Medicine Hat governing the collection and transportation of refuse and the operation of the Landfill and to pay, within thirty days from date of billing, the prevailing rates as may be established from time to time.

Invoices are processed at the beginning of every month for all weigh tickets charged to your Landfill Account throughout the previous month. Please ensure that you keep a copy of the weigh ticket(s) provided for your records. Requests to provide missing weigh tickets may result in an additional charge to your Landfill Account.

 I further agree to indemnify and save harmless the City of Medicine Hat from any and all claims for damages however arising by reason of the said City so granting the permission.

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.

Clear