Garbage service is mandatory in Cameron Park if the home or business is occupied in any form during the monthly service period. If a home or business will be unoccupied for the entire month, this form may be submitted to request an exemption from service. 

Property owners must submit this Exemption Request Form and receive acceptance of exemption before the exemption will take effect. If home or business is found to be occupied during the exemption period in any form, service will start, and the owner will be billed for the entire exemption period.

Service Address (required)

Service Apt/Unit #

Exemption Period (required)

Assessor's Parcel Number

Owner's First Name (required)

Owner's Last Name (required)

Mailing Address (required)

Mailing Apt/Unit #

Mailing City (required)

Mailing State (required)

Mailing Zip Code (required)

Contact First Name (required)

Contact Last Name (required)

Contact Phone # (required)

Contact E-mail (required)

By signing below, you agree and acknowledge that: (required)

The service address will not be used in any form during the service period noted above.

Should the service address be found to be occupied in any form, service will be billed for the entire service period.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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