Qualified Disabled, ADA Trash Service Affidavit
To be eligible for Rumpke’s Qualified Disabled, ADA Program participants must do the following:
- Provide a signed note from their physician explaining they are physically unable to take their trash to the curb.
- Sign an affidavit stating neither they nor anyone else in the household are physically unable to take their trash to the curb.
Signed physician’s note and affidavit can be faxed to 937-296-2550 or delivered/ mailed to:
Kettering Government Center
Attn: Senior Services Coordinator
3600 Shroyer Rd.
Kettering, OH 45429