2. 
4. The City of Alcoa will offer special assistance to qualifying residents for the collection of solid waste and recyclable materials. In general, special assistance will be provided the following residents:
   1. Any person over 75 years of age that desires assistance
   
   2. Any person with a handicap-parking permit and with no other non-disabled or non-physically limited resident capable of transporting the cart or bin to the street
   
   3. Those granted special approval for assistance for reason of medical, physical, restricted strength, or other reasonable limitation
   
   4. Those granted special approval due to topography, scope, distance or other physical conditions
6. Details of Exemptions
   Exemption Details (PDF)

   View a more complete explanation of the exemption qualifications listed above.
10. Name*
11. Date*
    Date
13. Address*
    Include Street, House Number, Apartment Number, etc.
15. Are you the only resident of this household?*

    1. Yes
    2. No
17. Reason for Exemption*

    1. Over 75 Years of Age
    2. Possession of Handicap Parking Permit
    3. Other Reasons (Medical, Physical, Restricted Strength, etc.)
    4. Extreme Topography, Slope, Distance of Driveway
    5. Short-Term Exemption for Medical Reasons

    Please choose one.
19. Date of Birth
    Date of Birth
    If over 75 years of age, please indicate date of birth.
21. Please describe your condition.
23. Please give an explanation of the reason this condition is insurmountable.
25. Anticipated Termination Date of Exemption
    Anticipated Termination Date of Exemption
27. Medical Doctor's Note
    Applicants may attach a note from a medical doctor.
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field