Litter Cleanup Supplies Request

Spokesperson Name *

First Name

Last Name

Spokesperson Phone Number *

(###)

###

####

Tentative Date of Cleanup *

MM

DD

YYYY

Support Needed *

Trash Bags

Gloves

Safety Vest

Litter Grabbers/Pickers

Traffic Safety Road Signs

How will you dispose of the trash? *

We will bring the bags to a Knox County Convenience Center or dispose of myself

Please have the Knox County Litter Crew or City of Knoxville Public Service come get the bags from the stretch of road we clean. (Group must verify when cleanup is completed)

Please read and agree to the following supplies borrowing guidelines. *

I understand that if my cleanup date is less than two weeks from date of submission, KKB might not be able to fulfill my request.

I understand that supplies must be picked up and returned within KKB's business hours of Monday-Friday, 9am-4:30pm.

I understand that reports need to be filled out and returned within a week of the cleanup.

I understand that supplies must be returned within three days of the cleanup, unless otherwise agreed upon with KKB staff.

If possible, please return any used gloves loose (not balled up).

KKB encourages you to take pictures during your cleanup and share them with us afterwards!