The Dumpster license waste hauler form, printed as Waste Hauler Form (L_039_F Form B), is a supplemental form from the City of Philadelphia Department of Licenses and Inspections (L&I). It identifies the company, or companies, that will haul away waste or recycling for a Private or Public Dumpster License. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form itself is published by L&I at phila.gov.
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What is L_039_F Form B?
The Dumpster license waste hauler form (printed title Waste Hauler Form, code L_039_F Form B) is the supplemental form from the City of Philadelphia Department of Licenses and Inspections (L&I) used to report who hauls waste for a Private or Public Dumpster License.
L&I issues dumpster licenses for dumpsters placed on private property or in the right-of-way, along a street or sidewalk. On its dumpster license documents page, L&I describes this form as the supplement that identifies the waste hauler for new dumpster licenses. It was released on October 27, 2025.
The form has three parts:
- Project Details: the type of material being hauled away (Waste, Recycling or Both) and the property address the waste will be hauled from.
- Owner/Operator Information: the owner or operator's name, address, email, phone number and Philadelphia Commercial Activity License #.
- Waste Hauler Company: space for up to three companies, each with name, address, email, phone number and Philadelphia Commercial Activity License #.
It ends with a declaration and the owner/operator's signature and date. The form is not the license application itself and not a business license. L&I lists separate documents for the dumpster license application, the plot plan and the Streets Department right-of-way application.
Who needs to file L_039_F Form B?
The owner or operator applying for a new Private or Public Dumpster License from the Philadelphia Department of Licenses and Inspections (L&I) uses this form to name the waste hauler. L&I describes it as a supplemental form for new dumpster licenses.
- The owner/operator completes the Owner/Operator Information block and signs the declaration.
- If more than one company provides hauling services, list each one in the Waste Hauler Company block; the form has room for three.
- Each hauler and the owner/operator is asked for a Philadelphia Commercial Activity License #.
The form is for identifying haulers on a dumpster license. It is not the application to place a dumpster, and it does not replace the plot plan form or the Streets ROW Public Dumpster Form, which L&I lists as separate documents. The form prints no rule about a representative signing for the owner/operator; the signature line is the owner/operator's.
When to file L_039_F Form B
The form accompanies a new Private or Public Dumpster License application, so it is completed when that application is made. L&I describes it as a supplemental form for new dumpster licenses, and no separate due date is printed on the form. Have the property address, the owner/operator's details and each hauling company's name, contact information and Philadelphia Commercial Activity License # ready before you start. For application timing, fees and processing, check the L&I dumpster license page.
How to fill out L_039_F Form B
Open the waste hauler form
Open the Waste Hauler Form (L_039_F Form B) for the Private or Public Dumpster License you are requesting. It is a supplement to the dumpster license application.
Check the type of material
Under Project Details, check Waste, Recycling or Both to identify the materials being hauled away.
Enter the property address
Write the address of the property where the waste will be hauled from.
Enter owner/operator name and address
In Owner/Operator Information, enter the Owner/Operator's Name and the Owner/Operator's Address.
Add owner/operator contact and license
Enter the owner/operator's Email, Phone # and Philadelphia Commercial Activity License #.
Complete Company Name #1
In Waste Hauler Company, enter the first hauling company's name, address, email, phone number and Philadelphia Commercial Activity License #.
Add more haulers if needed
If more than one company provides hauling services, complete Company Name #2 and Company Name #3 with the same details. The form has room for three.
Read the declaration
The declaration certifies that the statements are true and correct to the best of your knowledge and belief, and warns that knowingly false statements can lead to possible revocation of licenses and other penalties.
Sign and date the form
The owner/operator signs on the Owner/Operator's Signature line and enters the date in the Date field.
Review and download the PDF
Check that every hauler entry is complete and the property address is correct. Download or print the completed PDF from FillingPDF and submit it with the application as described under How to submit.
How to submit L_039_F Form B
L&I's dumpster license page says you can apply for dumpster licenses online or take your application to the Permit and License Center in the MSB Concourse. It states: Do not mail applications. The waste hauler form is the supplement to that application, so it follows the same channels.
- Online: apply through the L&I online application for dumpster licenses, listed on the L&I dumpster license documents page at https://www.phila.gov/documents/dumpster-license-documents/.
- In person: take the application to the Permit and License Center in the MSB Concourse.
The form prints no mailing address, and L&I says not to mail applications. Sign and date the declaration before you submit. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Mailing the form or the dumpster license application; L&I's page says not to mail applications.
- Leaving the Type of Material boxes (Waste, Recycling, Both) unchecked.
- Omitting the Philadelphia Commercial Activity License # for the owner/operator or for a hauling company.
- Listing only one company when more than one provides hauling services; the form has space for up to three.
- Entering the owner's address instead of the property address the waste will be hauled from in the Project Details block.
- Submitting the form without the owner/operator's signature and date under the declaration.
- Treating this supplement as the dumpster license application; it only identifies the waste hauler.
Frequently asked questions
What is the dumpster license waste hauler form?
It is a Philadelphia L&I supplemental form (L_039_F Form B) that identifies the waste hauler for a Private or Public Dumpster License. L&I says it is used for new dumpster licenses, and it records the material type, property address, owner/operator and hauling companies.
Is this form a Philadelphia business license?
No. It is a supplement to a dumpster license application and only reports who hauls the waste. It asks for each company's Philadelphia Commercial Activity License #, but it does not issue any license itself.
Can I mail the waste hauler form to L&I?
No. L&I's dumpster license page says not to mail applications. You can apply for dumpster licenses online or take the application to the Permit and License Center in the MSB Concourse.
How many waste haulers can I list on the form?
Up to three. The Waste Hauler Company block has spaces for Company Name #1, #2 and #3, each with address, email, phone number and Philadelphia Commercial Activity License #. List more than one only if more than one company provides hauling services.
Who signs the waste hauler form?
The owner/operator signs and dates it on the Owner/Operator's Signature line. By signing, they certify the statements are true and correct and accept possible license revocation and other penalties for knowingly false statements.
Can I fill out the waste hauler form online?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of the City of Philadelphia and does not file the form; you submit it through L&I's online or in-person channels.
What other forms does L&I list for dumpster licenses?
L&I's dumpster license documents page lists the dumpster license application, a plot plan form, a Streets ROW Public Dumpster Form, private and public license checklists, and information on medallions and radio frequency identification tags.
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