Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Exchange/Missing Cart Request Form

  1. 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.

  2. Account Information
  3. Account Number

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

  4. Cart Exchange/Replacement Information
  5. What type of carts need to be exchanged or replaced?*

    Select all that apply

  6. What is the primary reason for requesting this exchange*
  7. Would you like to have your cart(s) exchanged/replaced with new or used cart(s)?*
  8. 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. 

  9. 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.
  10. Leave This Blank:

  11. This field is not part of the form submission.