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2. Request to Exchange a Cart

   To request that one or more of your carts be exchanged for another cart, please fill out the form below and indicate the reason for the exchange. Please be aware that an exchange may be subject to fees to cover the cost of exchanging the cart. 

   If you believe that your cart was damaged by Waste Connections during service, then please contact the Northlake Utility Billing Department at 940-648-3290.

6. Account Information
8. Address*
10. Phone Number*
11. Email Address*
13. Account Number

    Enter the account number from your bill for the account that you wish to exchange carts.

15. Route Number*
16. Service Address ID*
17. Resident Number*
19. Cart Exchange/Replacement Information
21. What type of carts need to be exchanged or replaced?*

    Select all that apply

    1. Trash
    2. Recycling
23. What is the primary reason for requesting this exchange*

    1. Damaged
    2. Missing/Lost
    3. Dirty
    4. Other
25. If other or damaged, please describe the reason for requesting the exchange or how the cart was damaged:
27. Would you like to have your cart(s) exchanged/replaced with new or used cart(s)?*

    1. New ($50.00 per cart)
    2. Used ($15.00 per cart)
29. Authorization of Services*

    I am the owner of this account, and I am requesting an exchange or replacement for one or more trash and/or recycling carts for this account. I agree to pay any fees associated with covering the cost exchanging the carts ($50.00 per requested new cart or $15.00 per requested used cart). I am aware that charges related to this service request will be charged on my next utility bill. 

    1. Yes, I agree to the above statement and agree to pay the required fees for exchanging/replacing carts.
31. Name of the Account Holder*
32. Date*
    Date
36. Upon completion and submittal of you application for services, you will be returned to the Utility Billing page for the Town of Northlake's website. Please contact Utility Billing with any questions or concerns.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field