HomeMy WebLinkAboutYardWastePermitApplication2703 (Rev 11-25)
Department of Public Works
Yard Waste Drop off Permit Application Form
Permit Valid January 1– December 31, 2026
$25 per permit for Residents of the City of Oshkosh (Permit Only Valid for One Vehicle)
$125 per permit for Non-City Residents – includes Townships of Algoma, Black Wolf,
Nekimi, Oshkosh and Vinland (Permit Only Valid for One Vehicle)
Name: ___________________________________________________________ Date: ________________________________
PLEASE PRINT CLEARLY
Home Address: _______________________________________________ City: _____________________________________
Zip Code: ________________________________ Phone Number: _________________________________________
Vehicle Information
Make/Model: _____________________________________________________ Type of vehicle: Car ______ Truck _____
SUV______ Van______
Plate Number: ________________________________ Year: _______________
I certify that the information I have given on this application is complete and accurate. I understand that if the
information I provided proves to be false and/or misleading, I will no longer be eligible to use the permit, and a
refund will not be given. I certify that the yard waste materials delivered with this permit are generated from my
own private residence and not that of a rental property or a commercial operation.
____________________________________________________
Applicant Signature
Registration by mail
Please note property address on your check. Include a self-addressed, stamped envelope for return of your
permit. Make check payable to City of Oshkosh and mail with the application form to:
Oshkosh City Treasurer
P.O. Box 1128
Oshkosh, WI 54903-1128
Permit Number:
________________