request

Bidders Application Form

Please respond to all applicable questions and verify your information carefully prior to submitting.

Organization Type (Check All That Apply)

Public Agency

Minority Business

Small Business

Woman Owned Business

Company Name *

Contact Information for Orders/Services:

Street Address *

City *

State *

Zip Code *

Phone Number *

Contact Person (First Name, Last Name) *

Fax Number

Email Address *

Address Where Payment Should Be Sent (IF DIFFERENT from the address for orders/services)

Street Address

City

State

Zip Code

Phone Number

Contact Person (First Name, Last Name)

Fax Number

Email Address

Primary Contact

Contact Person (First Name, Last Name) *

Title *

Office/Branch *

Phone Number *

Fax Number *

Email Address *

Parent Company Information (If Applicable)

Company Name

Street Address

City

State

Zip Code

Phone Number

Fax Number

Email Address

Tax ID Number

Website Address

Upload W9

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Discount Availability Do you offer any discounts (for example, prompt payment discounts)?

Check One

Yes

If yes, please specify your requirements for discounts below. For example: • 2% if paid by 10th • Noted on invoice • Net 10 days from statement • Discount only when noted

By submitting this form I certify that the information supplied herein is correct. I understand that this form is subject to review and investigation prior to validation for procurement on approved vendor’s lists.

Name of Vendor *

Vendor Representative's Name *

Date *

Year

Month

Day

By selecting the box I certify that I am at least 13 years of age. *

Yes

Please click here to see our Terms of Use and Privacy Policy

Community Presentation Request

Request a Presentation-cropped

The Service Authority is available for community presentations to a variety of groups, including Boy and Girl Scouts, Homeowner's Associations, civic groups, after-school clubs, and volunteer organizations. For information on presentations to school classrooms, please visit our Classroom Outreach page.

Primary Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Organization Information

Name of Organization

Organization Type

Organization Contact

Street Address

City

State

Zip Code

Presentation Request

Type of Presentation

Location

Preferred Date

Year

Month

Day

Alternate Date

Year

Month

Day

Special Needs/Notes

How Did You Hear About Us?

By selecting the box I certify that I am at least 13 years of age. *

Yes

Please click here to see our Terms of Use and Privacy Policy

Demolition Permit Request Procedures

Contact Customer Service at 703-335-7950 to advise of the Demolition, close the account, and pay your final bill.

After the final bill has been paid, click here to print the Demolition checklist. Follow the instruction on the checklist, complete the document. Then you could either:
Mail the document to:

Emergency Dispatch: (703) 335-7990

Customer Service: (703) 335-7950

request

Bidders Application Form

Community Presentation Request

Demolition Permit Request Procedures

Emergency Dispatch: (703) 335-7990

Customer Service: (703) 335-7950

Emergency Dispatch: (703) 335-7990

Customer Service: (703) 335-7950

Search form

request

Bidders Application Form

Community Presentation Request

Demolition Permit Request Procedures

Follow Us

Emergency Dispatch: (703) 335-7990

Customer Service: (703) 335-7950