The City of Clayton will cover 100% of quarterly waste collection service fees for certain qualifying properties by making payment directly to the hauler on behalf of the property owner. The assistance may be granted upon application by qualifying property owners that meet certain financial and policy guidelines. To apply for the program, please complete and submit the form below. A PDF of this form is also available on the website. You may upload the required documentation through the online form below or by submitting to: 

 

City of Clayton
Department of Finance
10 N Bemiston Ave, Clayton, MO 63105

OR email to: licensing@claytonmo.gov

 

Qualifications under these guidelines shall be evidenced by submission of the following two (2) documents:

• Previous year Federal Tax Return with all attached schedules, AND
• One of the following
  • 1 month of current paycheck stubs
  • Letter from employer on letterhead with number of hours worked and dollar amount paid per hour.
  • A letter from the Division of Employment (unemployment statement).
  • Statement of Social Security Award letter, VA Benefits letter, or Pension Letter.

1

Please upload your documents here. 

Please upload your documents here.

Please upload your documents here. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Please upload your documents here. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Please upload your documents here. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

2

Name

 *

Name

3

Street Address

 *

Street Address

4

City

 *

City

5

State

 *

State

6

Zip Code

 *

Zip Code

7

Number of People Residing at Address

 *

Number of People Residing at Address

8

Email Address

 *

Email Address

9

Phone Number

 *

Phone Numberext.

10

By checking the box below and submitting this form, I certify that all documents submitted are true and accurate, and that my direct payment of waste collection service fees would have a significant negative impact on my household.

The documents submitted within this application are true and accurate.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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