Landfill Voucher Request Form

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City ZIP Code

Home Phone(Required)

Identity Proof(Required)

Select a method of proving property ownership

Property Tax ID#(Required)

Michigan Drivers License(Required)

Drop files here or

Accepted file types: jpg, gif, png, Max. file size: 64 MB.

Upload an image of the front of your MI driver’s license.

Create a Bushnell Township Website User Account?

Yes

Never miss an update from the township with a website account.

Username

Password

Enter Password Confirm Password

Phone

This field is for validation purposes and should be left unchanged.