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   CART MANAGEMENT FORM

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5. Name*
6. Email Address
8. Address*
10. City*
11. State*
12. Zip Code*
14. Phone Number*
15. Utility Bill Account Number*

19. Use the fields below to indicate what cart management options you'd like to enact.

21. My cart was

    1. lost/stolen
    2. damaged beyond repair
22. Explain how cart was lost/stolen or damaged beyond repair

    This field is required when reporting lost/stolen or damaged cart. Please note, carts deemed to be lost or damaged through personal negligence will cost $65 to be replaced.

24. I would like to request

    1. An extra trash cart (increases monthly garbage fee by $7 per extra cart)
    2. An extra recycling cart (increases monthly garbage fee by $3.50 per extra cart)
    3. To return an extra trash cart (decreases monthly garbage fee by $7 per cart returned)
    4. To return an extra recycling cart (decreases monthly garbage fee by $3.50 per cart returned)
    5. To trade my recycling cart for an extra trash cart (increases monthly garbage fee by $3.50)
    6. To decline/return my recycling cart (does not decrease garbage fee)

    Minimum monthly garbage fee is $16.73 on your utility bill. Residents must keep at least 1 trash cart to receive trash service. Cart deliveries/pickups may take up to 10 business days. Changes to your garbage fee on your utility bill will be present on your next bill. For questions or concerns, please call Utility Billing at 817-246-4971 and select option 1.

26. If requesting/returning more than one extra trash cart, indicate TOTAL number of carts you are requesting/returning (do not include any carts you already have)
27. If requesting/returning more than one extra recycling cart, indicate TOTAL number of carts you are requesting/returning (do not include any carts you already have)
29. Comments/Request Specifics
31. Digitally Sign (type name)*

    By digitally signing, you agree to any changes this form will make to your monthly utility bill and that you are the authorized utility bill account holder for this address.

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33. Submit

* indicates a required field