Forms & applications

Service Applications & Forms

NCSWA Roll Off Application

Roll Off Application

NCSWA Self-Haul Application

Self-Haul Application

NCSWA Service Application

Service Application

NCSWA Change of Service Request

Change of Service Request

NCSWA Handicap Route Status Application

Handicap Route Status Application

NCSWA Senior Low Income Application

Senior Low-Income Application

NCSWA Vacant/Disconnection Request

Vacant/Disconnection Request

Submit Your Completed Application

Have you completed your application and are ready to submit it? You can submit it by attaching it to the form below, you can mail it or fax it.  If you need additional assistance, please do not hesitate to contact us.  We are looking forward to hearing from you.

Click or drag files to this area to upload. You can upload up to 3 files.
Only one application per submission is allowed. Do you have more than one application or form? Resubmit this form once your first submission complete.

Mailing Address

P.O. Box 1230
Española Way, NM 87532


(505) 747-8464

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1101 Industrial Park Road
Suite C
Española, NM 87532

Mailing address

P.O. Box 1230
Española, NM 87532

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(505) 747-8459

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(505) 747-8464

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