Skip to form

Village of Arlington Heights

administration@vah.com

33 S. Arlington Heights Road , Arlington Heights , IL, 60005, US

847-368-5000

Senior Citizen Refuse Discount Application

image

Full Name

Full Address

Senior Citizen Discount: For households in which the head of the household is age 65 years old or older. Verify your most recent Groot Waste Bill showing your name, address, and account number.

Please Upload (Attach) Copy of Groot Waste Bill

Please Upload (Attach) a Photo Copy of Your Driver's License or State ID

Sign Here

Choose how to sign