Lansing, MI

Application for Waste Hauler License

Contact us
If you desire assistance or have questions about this form, you can email us at city.clerk@lansingmi.gov, call us at (517) 483-4133, or visit us in the City Clerk's office, located on the 9th floor of City Hall (124 W Michigan Avenue, Lansing, MI 48933).
Instructions
Fill out and submit this form. Bring the other materials listed to the City Clerk's office to complete the application process. License expires April 30 each year.
Materials
There non-refundable $50 application fee and additional fee of $35 for each vehicle. Fill out and print the vehicle information form (linked to the right). A copy of the insurance policy must be filed with the City Clerk prior to issuance of the license.
Vehicle Information Form
Link
Business Name*
Federal I.D. No.*
DBA or trade name (if any)
Owner or Corporation Officer Name*
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Business Street Address*
City*
State*
Zip code*
Business Phone Number*
Business Email Address
Business Contact Name*
Please provide contact information for a manager or other administrative staff, not a customer service line.
Business Contact Phone Number*
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Treasury Request Form
Link
Print, fill out, and fax/mail Treasury Request Form*
1. I have faxed or mailed the Treasury Request form to the City Clerk.
Print, fill out, and mail or fax the Treasury Information Request Form to the City Clerk. The form is available at the link above. Business licenses will not be issues to people in debt to the City. The Treasury Request Form must be completed and submitted before your application can be processed.
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The Applicant certifies that as an express condition of each license issued, he/she will:
1. Comply with all provisions of City, State, and Federal laws
2. Have suitable types of containers and an appropriate number of containers to provide adequate service
3. Have a schedule of pick-ups for solid waste, recyclable materials and/or yard waste
4. Not pick up solid waste, recyclables and/or yard waste that have not been separated and will leave the customer an informational tag
5. Semi-annually, on forms provided by the City, report quantities of each material hauled
Misrepresentation of any material fact in this application or failure to comply with all applicable laws may result in revocation of the Waste Hauler license.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature of Owner or Corporate Officer*
Date*
Date
Title
Approved by Building Safety
Date
Date
Approved by City Treasurer
Date
Date
Approved by Public Service
Date
Date
Amount paid
Date paid
Date paid
License number

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