Form Center

2. This application is restricted to Middletown renters or property owners.*

   1. I am a resident or property owner in Middletown and will provide a Middletown address below.

   Please note this form is for residential use of the Middletown Recycling Center.  If you are hired to transport any type of waste material, you must complete the hauler registration and licensing forms to use the Recycling Center.  These can be found at: https://www.middletownct.gov/1275/Waste-Hauler-Registration. 

4. Full Name*

   First name Last name

5. Email Address*
7. Street Address*
9. City: Middletown
10. State: CT
11. Zip Code*
13. Phone Number*
15. License Plate Number *
16. Issued by which state*
17. Vehicle Year *
19. Vehicle Make and Model *
20. Vehicle Color *
22. Select Type of Pass *

    1. Annual Pass (expires June 30, 2024) MUST be placed in the vehicle’s front driver’s side window.
    2. Day Pass
23. If Day Pass, list the date(s) the pass is needed for.
25. Proof of Residency *

    Upload proof of residency.  This must include vehicle registration.  If the vehicle registration is not in Middletown,  proof of where the material is coming from must be included.  This could include drivers license, utility bill, or lease from Middletown property.

27. Acceptance of Middletown Recycling Center Policies *

    1. I certify that I have read the rules and regulations of the Middletown Recycling Center and will only bring acceptable waste materials generated from Middletown properties.

    Policies are available for review through this link.

29. Office Use Only

    In person pass 

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field