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2. 
3. Leaf Program: HOA Registration Questionnaire

   All information provided in this form is subject to Freedom of Information Act requests subject to State law.

5. HOA Name
6. HOA Address
8. HOA Board President Contact Information
10. First Name
11. Last Name
12. Phone Number
14. Email
15. Term Length
17. 1. Does your HOA currently obtain their trash service from the City of Westland for their residents?

    1. Yes
    2. No
19. 2. Does your HOA currently obtain their recycling service from the City of Westland for their residents?

    1. Yes
    2. No
21. 3. Does your HOA currently obtain their compost service from the City of Westland for their residents?

    1. Yes
    2. No
23. 4. Does your HOA currently provide ANY FORM of leaf pickup service to their residents?

    1. Yes
    2. No
25. 5. If yes to question 4, does the contractor currently dispose of the leaves directly or do they leave them in compost bags for the City to pick up?

    1. Contractor disposes the leaves.
    2. Compost bags are left for the City.
27. 6. Please list the services that your HOA currently provides to Westland residents:
29. 7. Does your HOA wish to participate in the City of Westland's Residential leaf pick up program?

    1. Yes
    2. No
31. 8. If your HOA currently provides any form of leaf pickup service to residents, would your board consider reducing HOA monthly dues, if the City of Westland were to take this over?

    1. Yes
    2. No
33. 9. If your HOA currently provides any form of leaf pickup service to residents, would your board consider contracting with our vendors directly to obtain our bulk rate discount pricing?

    1. Yes
    2. No
35. 10. Please upload a copy of your most recent approved budget, along with meeting minutes that confirm its approval.
37. I understand that this information will take the City of Westland some time to review and verify. Due to this, our neighborhood will likely be temporarily excluded from the program.*

    1. I agree.
39. I confirm that all information provided is true and correct to the best of my knowledge.*

    1. I agree.
41. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
43. Electronic Signature*
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field