Download Fillable Application PDF
Be sure to print and save PDF before you submit. Form will clear upon hitting the submit button. Submission is by email and depending on how your email is setup as to how this will work.
If you have issues with the email submission, the application can be emailed to jrice@midamenv.com
or mailed to
MiD-America Environmental Solutions
MiD-America Waste Solutions, LLC
P.O. Box 737
Carthage, MO 64836