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2. 
3. Alternate Paper Request Form
   Trash and Recycle Repair/Replace Bin Request (paper form)

   This form is available to print, complete and email to utilityadmin@thecolonytx.gov instead of the electronic form below.
5. Date:*
   Date:
6. When is your regular trash day?
   -- Select One --TuesdayWednesdayThursdayFriday
8. Name: *
   First Name and Last Name
10. Address:*
    City, State and Zip Code
12. Contact Phone Number*
14. Email Address:*
16. Please select all that apply

    1. Trash Cart
    2. Recycle Cart
    3. Additional Trash Cart***
    4. Remove Additional Trash Cart
    5. Additional Recycle Cart
    6. Remove Additional Recycle Cart

    ***Adds an additional $9.04 per month to utility bill-minimum 3 month charge

18. Trash Cart Damage

    1. Missing
    2. Broken Wheel
    3. Broken Lid

    1. Cracked
    2. Crushed (not usable)
20. Number of Damaged Trash Carts
22. Recycle Cart Damage

    1. Missing
    2. Broken Wheel
    3. Broken Lid

    1. Cracked
    2. Crushed (not usable)
24. Number of Damaged Recycle Carts
26. Submission of Requests
    Submitted repairs will be made on your next trash/recycle pick up day. Please leave the cart out after pick-up so that it can be repaired or replaced. This will be completed between 7am and 7pm on your normal trash/recycle day. Submitted New/Additional carts will be delivered within 3-4 business days. Weekend, observed holiday and after business hours submissions, may result in a delay of the repair/replacement of your cart to the following week. To confirm, you may contact 972-624-3131.
Leave This Blank:


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

    This field is not part of the form submission.

30. Submit

* indicates a required field