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ADDITIONAL REFUSE CART(S) REQUEST FORM
filling in the information above, please download/save a copy of this form to your computer or device first, open the saved form, then fill in the form.
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In addition to submitting, please save a copy for your records.
In addition to submitting, please save a copy for your records. Previous name used (if different):. Email address: A copy of your CEU Transcript will be sent
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NYSDFS: Instructions on How to File Certification of Compliance
Please print/save a copy for your records as it also includes a receipt number which you may need to reference if questions arise. You will also receive an
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