Pickup Report for Sponsor-A-Highway Service Provider - ncdot.gov

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Pickup Report for Sponsor-A-Highway Service Provider

Thank you for your contribution!

Please submit a separate report for each pickup date.

All fields are required unless otherwise noted.

If you haven't been provided a pickup key, contact your Service Provider.

Your contract has expired. Please contact your local coordinator. Your pickup request will be honored in the meantime.

Your InformationStep 1 of 4

Pickup Key
View Pickup History
Route
Full name
Phone
Email
Optional

Pickup InformationStep 2 of 4

Date of pickup
Month Day
Year
Large item pickup (tires, furniture, car parts, etc.)?

Service ProvidersStep 3 of 4

Participants
Hours per person
Total Hours

Bags & RecyclingStep 4 of 4

Recyclables
Trash
Total Bags

Contact

North Carolina Department of Transportation

1521 Mail Service Center

Raleigh, NC 27699

1 (877) 368-4968

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