Missed Collection Form

2. <p style="font-size:16px"><b>Please do <u>not</u> submit this form prior to 3:00 pm on your collection day. Crews collect refuse between 6:00 am - 3:00 pm daily and collection times may vary from week to week.</b>

   Please do not submit this form prior to 3:00 pm on your collection day. Crews collect refuse between 6:00 am - 3:00 pm daily and collection times may vary from week to week.

4. First Name*

5. Last Name*

7. Street Address*

9. Email Address*

10. Phone Number*

12. Date of Missed Collection*
    Date of Missed Collection

14. What Type of Collection was Missed? (check all that apply)*

    Learn more about Curbside Collections

    1. Garbage in Town Cart
    2. Recycling in Town Cart
    3. Brush
    4. Bulky Waste
    5. Landscape Waste (Collection ends 11/25/2020)
15. If this is a recycle cart that was missed, does it have a yellow lid?*

    1. Yes (The cart has a yellow lid)
    2. No (The cart just has stickers)
    3. Not Applicable

17. Were your carts/waste out before 6:00 am?*

    1. Yes

    1. No

    Collection items not out by at least 6:00 am on collection day may not be collected.

18. If your refuse was out on time, would you like your missed collection to be collected on the next business day?*

    1. Yes

    1. No

    If yes, please leave your collection item(s) curbside until the following business day (or remove and place out by 6:00 am).

20. Comments/Description of Waste

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field