Lincoln - CheckSammy

A Sustainability Company

Please complete the form to request CS OnDemand Junk Removal for Lincoln.
Should your municipal landfill charge for each individual mattress there will be an additional charge on your final bill for $15 per mattress
Customer Support Representative Who Is Placing Order*
First Last
Customer Support Rep Email*
Customer Support Phone Number*
Community Details & Service Required
The Service Required is*
Community Name*
Community Address*
Street Address Address Line 2 City State ZIP Code
Please Specify Unit Number for Service
Number of Bedrooms
- One (1)
- Two (2)
- Three ()
Approximate Sq. Ft. of Unit
Special Requirements
Does your state have any specific staffing requirements for evictions or trashouts - if yes please provide details
Community Contact & Pickup Request
Community Contact Name*
First Last
Community Contact Phone (mobile or landline)*
Community Contact Email*
Requested Pickup Date*
MM slash DD slash YYYY
Requested Pickup Time*
Arrival will be within 2 hours of time selected

: Hours

Minutes

AM/PM
List of Bulk items & Location
Please provide details about bulk items to be picked-up and any location specifics
Photos of Items for Pick-up
Please provide photos of items to be picked up - the better the visual details of what is to be picked up - the more efficient we can be.
Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 4 MB, Max. files: 15.
Billing Details
Once the job is complete, the job will be invoiced to*
- Lincoln
By clicking submit, I hereby certify that I am an authorized representative for the referenced property for which I am submitting this work order (the “Property”). I have the authority to submit this work order on behalf of the Property, including but not limited to authorization to order the scope of work to be performed under the work order, and (ii) ensure payment for this work. I agree to pay all invoices in full within 30-days.