Forms & applications

Service Applications & Forms

Roll Off Application

Self-Haul Application

Service Application

Change of Service Request

Senior 10% Discount Application

Handicap Route Status Application

Senior Low-Income Application

Vacant/Disconnection Request

Veteran Discount Service Application

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

NCSWA
P.O. Box 1230
Española Way, NM 87532

Fax

(505) 747-8464

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Visit Us

1101 Industrial Park Road
Suite C
Española, NM 87532

Mailing address

P.O. Box 1230
Española, NM 87532

CAll us

(505) 747-8459

Send us a Fax

(505) 747-8464

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