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2. First Name*
3. Last Name*
5. Address*
7. City*
8. Phone Number*
10. Email Address
12. Select the Service Needed. *

    You must complete a separate form for each request.  

    1. Establish Service at a New Address
    2. Report a Missed Pick-Up

    1. Request a Replacement Cart
    2. Remove an Extra Cart
14. Select the option that most closely applies. *

    1. New Construction

    1. Existing Residence
16. Is there a cart currently on site?*

    1. Yes
    2. No
18. Was the cart placed at the appropriate location curbside the night before the scheduled pick-up?*

    Carts must have been placed outside the night before curbside pick-up is scheduled.  Trucks will not return to a completed route for a missed pick-up if the cart was not at the curb on time. 

    To keep the rates affordable, all trucks are equipped with cameras and footage is obtained before a missed pick up is rescheduled.  

    1. Yes

    1. No
20. Select the reason(s) a replacement cart is needed. (You may select more than one option.)*

    1. Cart dropped in the back of the truck
    2. Cart missing
    3. Lid missing

    1. Wheel(s) missing
    2. Cracked and Leaking
    3. Other (Please specify.)
22. Please specify reason a new cart is needed.
24. Additional Comments:
26. Do NOT Submit this Form. Place Your Cart on the Curb the Night Before Your Scheduled Pick-up Day.

    Please place the cart on the curb the night before your scheduled pick-up day and the cart will be emptied.  No further action is required on your part.  Curbside trash service is billed on your annual property taxes so there is no need to set-up a separate account.  

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field