Septic Tank Pumping Request Form

Complete our pump request form to schedule your next cleaning. Please call 637-5642 if you have any questions or need assistance.

First Name

Last Name

Phone

Street Address

City

State

ZIP Code

Nearest Cross Street

Where is the tank located?

Is the tank dug up?

Yes No

Tank Size

Request Date (confirmation required)

Additional Comments or Information

Jensen’s Excavating, Inc.
13271 M-140 Hwy
South Haven, MI 49090

269.637.5642 Office
269.637.9322 Fax
Email: info@jensenexc.com