Skip to form

Public Works

111 North Main Street


Document Signers
    • 1 Resident

    • 2 Pwadmin

    • 3 Lindsey Schaffrick


Your service will be activated once BOTH your digital application and payment are received.

Do NOT print this form, this is a digital document and must be submitted online even if you choose to pay in office. Please fully complete, sign, and submit online. Do not print and mail the form in.

You may mail a check or pay online. All applications must be submitted digitally no matter how you choose to pay.

If you are paying online you will be directed to the bank site when you sign and submit the form. If you are mailing a check in just close out the bank browser.
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored. I also agree that I am responsible for the Yard Waste barrel and that the Barrel is the property of the City of Bristol. I agree to pay for any damages to the barrel, excluding normal wear and tear.
Public Works Website
I.N.Will Update Upon Signing
Signature HereClick to Sign
01/24/2021Click to Sign
I.N.Will Update Upon Signing

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.


Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue


Additional Signatures Required