Truck Rental Request Form

Today's Date * Required
MM slash DD slash YYYY
Truck Delivery Date * Required
MM slash DD slash YYYY
Name * Required
First Last
Billing Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Address to Deliver Truck * Required
Street Address Address Line 2 City State ZIP Code
Phone * Required
Email * Required
Fees, Taxes, and Additional Surcharges * Required
I understand the City of Lowell is charged to dump my load. I understand the fees, taxes, and any additional surcharges will be invoiced and forwarded to me for payment. The minimum charge is $67.47 unless reflected otherwise on any new Council adopted Fee Schedules.
Truck Delivery and Pick-Up * Required
I understand the truck will not be delivered until Public Works has finished with it at the end of their shift on the day you requested. Also, it will be picked back up on the morning of the next business day. Your rental is for one day unless you have rented it for a Friday which will include the weekend.
Truck Rental Agreement * Required
I agree to the Truck Rental Agreement.
The truck will be parked and will not be moved until it is picked up by the city. I also agree and understand that I will be responsible for any damage to the truck and also agree to hold harmless the City of Lowell for any damage or accidents that may occur involving the truck while it is on my property. I do understand the truck should not be overloaded in a manner in which it cannot be hauled in accordance to state law. I do understand and agree that I will not place any prohibited in the truck. And, I also understand I will be responsible for any additional surcharges for matter rejected by the county landfill or Waste Management transfer stations.
PROHIBITED ITEMS:
(1) Any hazardous or industrial waste, oils, paints or liquids, etc.; (2) Any tires, metal, metal appliances, or asphalt roofing shingles; (3) Any grass and tree trimmings mixed with other materials.
CAPTCHA