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Citizen Request - Replace Refuse Container Request

Replace Refuse Container Service Request

REPLACEMENT MADE WITHIN 48 HOURS AFTER SERVICE DAY

Container must be accessible for replacementAfter the service day & container is emptied, replacement within 48 hours
First Name*
Last Name*
House #*
[N, S, E, W] Street Address (EX: N Gilbert RD)*
Apt/Suite
City
State
Zip
Sub Division
  
Major Intersection Cross Streets
Daytime Phone #*
Home Phone #
Work Phone #
Email
Problem*
  
Container Color Black Or Blue?*
  
Container Replace Information:
Information
Before you submit this form, please be aware of the Town's policy stating that the message you are about to send: (1) is subject to public disclosure under the Public Records Law, and (2) is not private or confidential.

Town of Gilbert. 50 East Civic Center Drive, Gilbert, AZ 85296 480.503.6871 | Fax 480.497.4943 | TDD 7-1-1

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