Residential Trash Cart Application

Instructions: Use the form below to submit a request for a trash cart. Once account is set up you are required to pay a $75 trash fee, to receive a trash cart to accommodate the weekly service. An additional cart can be purchased for Dallas County residents in the amount of $50 and $75 for residents of Kaufman County. The fee will be charged on the first month’s bill or a payment can be made in the office. A three month payment plan can be implemented upon request.

*Asterisk fields are required*

FIRST NAME: *

LAST NAME: *

EMAIL ADDRESS *

Phone Number *

Service Address *

COUNTY: *

Start Date: * +

Request Type: *

FIRST CART

SECOND CART

REPLACEMENT CART

Returning the second cart to the City of Mesquite after terminating or transferring service will result in a final bill credit of $25.

PLEASE CHECK TO REQUEST A THREE MONTH PAYMENT PLAN.

Accept

Signature of Account Holder *

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