HomeMy WebLinkAboutExemptionServiceCity of Oshkosh Exemption Service Program
The City of Oshkosh has an Exemption Service (ES) program to assist residents with disabilities. Residents who are
physically unable to place their carts at the curb, and have no one in their household or employ that can help, may
qualify for the City’s ES program at no additional cost. Residents shall submit an annual application, verified by their
doctor, stating the nature of the disability that restricts them from moving their carts to the curb. Applications for the ES
program are available by calling the Sanitation Division at (920) 232-5383.
Application for the Exemption Service Program
City of Oshkosh Sanitation Division (920) 232-5383
Resident’s Statement (please print)
Name: __________________________________________________________________________________
Address: _______________________________________________________ Zip Code: _______________
Telephone Number: _____________________________________________________________________
Read the following statement carefully, and check the box beside it if you agree.
I request Exemption Service because I am unable to move my garbage and recycling
carts to and from the curb, and there is no able-bodied person in my household who
could move the carts to and from the curb for collection.
My reason for needing assistance is (check one):
I have a permanent physical disability
I have a temporary physical disability until __________________________
I understand after this date, I will be removed from the Exemption Service
Program.
I understand that it is my responsibility to resubmit this application annually for continuance of
the Exemption Service. I authorize my physician to release any information necessary to verify
my disability.
Signature: ______________________________________________ Date: __________________________
Physician’s Statement
For medical reason(s), the above individual is unable to and should not move the garbage
and recycling carts to the curb each week. I have checked the correct status—either
permanent or temporary. If temporary, I have indicated how long the resident will need the
Exemption Service.
Permanent Temporary until (date) _______________________________
Physicians Name: ________________________________________________________________________
Physician Address: _______________________________________________________________________
Physician Signature: ______________________________________________________________________
Return the completed form to:
Sanitation Division, 639 Witzel Avenue, Oshkosh, WI 54902
Or Send by Email to Sanitation@oshkoshwi.gov
Form 2710 updated 5/2025