Service Request Form

A local company you can trust!!

If you wish to request service without making a telephone call, please complete this form and click on submit. We will confirm your request by email. If you do not receive our confirmation within 24 hours, please call us at 757-857-9700.

Service Request Form

465 East Indian River Road
Norfolk, Virginia 23523


Required fields are denoted by an asterisk (Star indicating required field) adjacent to the label.

First Name

Last Name

Your Business Name:

Requested Service Location:

Email Address

Phone Number

Roll Off Container Service

Container Size

12 cyd
20 cyd
30 cyd
40 cyd

Service Needed

Delivery
Dump and Return
Dump and Bring In (Job Finished)
Relocate

Comments/Special Request

Front Load Service

Container Size

2 cyd
4 cyd
6 cyd
8 cyd

Container Type

Metal
Plastic
Casters
No Casters
Lockbar
No Lockbar

Service Needed

Exchange
Extra Pick-up
Service-Customer Missed
Container Needs Repair

Comments/Special Request

Residential Service

95 Gallon Toters
Curbside Collection
Exchange
Extra Pick-up
Service-Customer Missed
Container Needs Repair

Comments/Special Request

 

* A Bay Disposal Account Executive will contact you within 24 hours