[DC GOVERNMENT] Clean Up Supply Form

Community Clean Up Form

Submit this form at least 15 days prior to your cleanup event.

Return all loaned materials within 3 days of your event.

Questions? Email: cleancity@dc.gov

Organizer Contact Info

Phone Number

Alternate Contact Name

Alternate Phone:

Ward:

Are you an Adopt A Blockee?

Yes

If so name on your sign?

Event Details

Date of Event:

Time of Event:

Event Location(s)

Expected Number of Participants

Requested Supplies (limit: 50 sets total)

Requested Supplies (limit: 50 sets total)

Trash Pickers

Gloves:

Bags:

How Many Trash Pickers ((you will receive trash pickers as a % of participants) )

How many Gloves

How Many Bags

Collection Point (Bagged Trash Only – No Bulk Trash):

(Only one collection site per event. For large cleanups, email us to request additional support.)

🛑 Note: Bulk trash will not be collected. To schedule bulk pickup, visit 311.dc.gov or call 311.

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Contact the Department of Public Works (DPW) two weeks in advance if you need rakes, shovels or brooms for your scheduled clean up

Submit the form to DPW: https://dpw.dc.gov/helpinghands
Questions about DPW toolkits:  david.williams@dc.gov

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