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Public Works

1700 Memorial Ave., Lynchburg, VA 24504

(434) 455-6087

Form Section 1

Adopt-A-Street/Spot Activity Report

After cleanup, please call 856-CITY (2489) to have bags picked up.

Submit this form after each cleanup. 

Cleanup Date
Date Picker
Hours & Bags Info
Did you recycle any of the trash you collected?
Today's Date
Date Picker
Your signature here.