Skip to Main Content
Do Not Show Again
How Do I...
Select a Category
Business Tax Receipt
Engineering Form Request
Parks & Recreation
Planning & Zoning
Public Information Request Form
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Disability Service Request
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Fill out this form to apply for Disability Services for waste collection.
Name (First, Last)
You can either have the physician fax the statement to us at 561-791-4023 or directly upload it here on the form.
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow