Charge Account Application

  • NameHome AddressPhoneSocial Security No.Position 
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    For Proprietorship or Partnership: List All Owners and or/Partners
    For Corporation or Limited Liability Company: List all Officers Directors
  • NameContact NamePhoneAddressFaxEmail 
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    **You must submit 3 Trade References**
  • Please enter a value between 0 and 5000000.
  • Please enter a value between 0 and 5000000.
  • Type Of WasteLocation Delivered 
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  • TERMS AND CONDITIONS

    Obtaining a DSWA license to collect, transport and utilize Delaware Solid Waste Authority facilities for disposing of solid waste or dry waste does not create a charge account with DSWA. Any private hauler or individual may request a charge account.
    • *A completed and signed Delaware Solid Waste Authority Charge Account Application
    • *A completed and signed Authorization to release bank information
    • *Issuance by a corporate surety, qualified to do business in the State of Delaware, of a Guarantee of Payment Bond (Bond amount to be determined after review of application
    • *DSWA reserves the right to run a credit history on any applicant for a charge account and requires the applicant to authorize DSWA to contact and examine banking history and credit references.


    I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
  • YearMakeBody TypeCubic YardsLegal Weight LimitColorTag NumberUsed For Residental or Commerical use?Used For Recycling (Yes/No) 
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    Please supply the following information for all trucks
  • DSWA Customer Credit & Policy & Procedure

  • Please read the following before completing application DSWA Customer Credit Policy & Procedure
  • This is to confirm that I as proprietor, partner or Corporate officer of the above mentioned company have examined the DSWA Customer Credit Policy & Procedure , and being familiar with all requirements and conditions agree to operate in accordance with such requirements in the event credit is extended.

    I understand that this constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.