Refuse Cart Repair Request Form

(City owned carts only)

1 Start 2 Preview 3 Complete

Date *

Month

Day

Year

Name *

Enter your name.

Telephone number *

Enter your telephone number

Property address *

Enter the address of where the carts are located

Which cart(s) need repair? *

Burgundy Trash Cart

Green Recycling Cart

Select the cart or carts which need repair

Where are the carts located on the property? *

Describe where the carts are located so we can repair them.

Select the type of repair needed. *

Broken wheel(s)

Broken lid

Leave this field blank

Departments