Step 1 - Define Service Request
Type of Service (please select one or both of the following):

Pick Up   (Complete Step 2, 3, 4, 6)
New Container   (Complete Step 2, 3, 5, 6)

  Step 2 - Select Trash Collection Day or Private Service
Please select one of the following:

If you use the black, blue, or green bin (w/ City Seal), then select your Trash Collection Day: Please Select One: Monday Tuesday Wednesday Thursday Friday

OR

If you use Private Service, then check Private Service below:
Private Service

 Step 3 - Contact Information     (HELP)
Entries preceded by an asterisk ( * ) are required for proper processing.

Name:	*
Street Address:	*
City:	*
Zip Code:	*
Phone:	*
E-mail Address:	*

 Step 4 - Pick Up Service Request
Type of Pick Up Service (please select one or more of the following):

Bulky Items (HELP)

Carpet Sofa Table Chair Crib Garage Door Lamp Mattress Dresser Other (Please describe 'Other' in the box below) Please Select One or More and Press Add:


Other Bulky Items

Metal Household Appliance Items (HELP)

Air Conditioner BBQ Pit Bed Frame Washer / Dryer Ovens Water Heater Refrigerator Metal Cabinet Stove Other (Please describe 'Other' in the box below) Please Select One or More and Press Add:


Other Metal Appliances:

Brush Items  (HELP)
        Overgrown, Dry Brush (see Help for important information)   

Move In / Move Out Pick Up   (HELP)
        (see Help for important information)

Trash Trash in Boxes Bags of Clothes Other Refuse Please Select One or More and Press Add:

Services Not Complete  (HELP)

Black Refuse Container Green Yard Trimmings Container Blue Recycling Container Bulky Item Metal Household Appliances Brush Item Move In/Move Out Container Repair Other (Please describe 'Other' in the box below) Please Select One or More and Press Add:


Other Services Not Complete:

Other Items   (HELP)

Hazardous Waste Brochures Other (Please describe 'Other' in the box below) Please Select One or More and Press Add:


More items:

 Step 5 - Define New Container Request
Type of Containers (please select one or more of the following):

Black (Refuse)   (HELP)

Size: Please Select One: 30 Gallon (Sm) 60 Gallon (Reg) 90 Gallon (Lg) Quantity: Please Select One: 1 2 3 Reason: Please Select One: Missing Damage Extra Never Received

If Reason is "Damaged", Complete the following:

Container 1 Serial #
Damage on: Wheel   Lid   Body

Container 2 Serial #   
Damage on: Wheel   Lid   Body

Container 3 Serial #   
Damage on: Wheel   Lid   Body  

Green (Yard Trimmings)  (HELP)

Size: Please Select One: 30 Gallon (Sm) 60 Gallon (Reg) 90 Gallon (Lg) Quantity: Please Select One: 1 2 3 Reason: Please Select One: Missing Damage Extra Never Received

If Reason is "Damaged", Complete the following:

Container 1 Serial #   
Damage on: Wheel   Lid   Body

Container 2 Serial #   
Damage on: Wheel   Lid   Body

Container 3 Serial #   
Damage on: Wheel   Lid   Body  

Blue (Recycling)  (HELP)

Size: Please Select One: 60 Gallon (Reg) 90 Gallon (Lg) Quantity: Please Select One: 1 2 3 Reason: Please Select One: Missing Damage Extra Never Received

If Reason is "Damaged", Complete the following:

Container 1 Serial #
Damage on: Wheel   Lid   Body

Container 2 Serial #
Damage on: Wheel   Lid   Body

Container 3 Serial #
Damage on: Wheel   Lid   Body  

 

Horse Manure Container  (HELP)

Size: 30 Gallon Quantity: Please Select One: 1 2 3 Reason: Please Select One: Missing Damage Extra Never Received

If Reason is "Damaged", Complete the following:

Container 1 Serial #
Damage on: Wheel   Lid   Body

Container 2 Serial #
Damage on: Wheel   Lid   Body

Container 3 Serial #
Damage on: Wheel   Lid   Body  

 Step 6 - Submit Request
Please review your entries and then click submit to send the request, or click clear to erase all entries.