Adopt-A-Road Collection Report

Submit after every cleanup

The Knox County Solid Waste and Keep Knoxville Beautiful Adopt-A-Road program requires regular reporting from Adopt-A-Road groups for each clean-up a group performs. Collection reports are used to judge which groups are active, but more importantly, to report the information for the grant that funds the Knox County Adopt-A-Road program. Therefore, it is imperative that the collection report is turned in by groups in a timely manner after every cleanup. Failure to return updated copies of this report after cleanups may result in termination of the group’s Adopt-A-Road status. Please complete the form below or print off this form to be emailed or mailed to Keep Knoxville Beautiful.

For questions filling out this form please contact adoptaroad@keepknoxvillebeautiful.org or call 865-521-6957.

Spokesperson Name *
Spokesperson Name
Spokesperson Phone Number
Spokesperson Phone Number
Date of litter pickup *
Date of litter pickup
Bag Disposal Method *

*Please send any photos to adoptaroad@keepknoxvillebeautiful.org