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Brush and Bulky Item Collection Request Form

2. 

4. RESIDENTIAL BRUSH AND BULKY ITEM COLLECTION REQUEST

6. Any residential customer with an active sanitation account with the City of Brownwood is eligible for pick up.
   Residential only (no commercial requests please) City of Brownwood Ordinance No. 14-16, Section 1 Sanitation rates, Section B Commercial – states: A commercial account is defined as any business establishment, schools, churches, county, state and federal agencies.

   Residential only (no commercial requests please) City of Brownwood Ordinance No. 14-16, Section 1 Sanitation rates, Section B Commercial – states: A commercial account is defined as any business establishment, schools, churches, county, state and federal agencies.

8. First Name*

9. Last Name*

11. Address1*

13. City*

14. Email Address for Contact*

16. PLEASE TAKE NOTE:
    If your garbage is collected curbside the items for collection must also be placed curbside. See the Residential Brush and Bulky Item Collection page (under Solid Waste Services) for items not collected by the City of Brownwood.

    If your garbage is collected curbside the items for collection must also be placed curbside. See the Residential Brush and Bulky Item Collection page (under Solid Waste Services) for items not collected by the City of Brownwood.

18. ITEMS READY FOR PICK UP:
    Please choose one selection in each of the following categories.

    Please choose one selection in each of the following categories.

20. Category One: Brush / Tree Limbs
    If you are requesting brush pick up please indicate placement by checking at least one box below. (Limbs must be cut in lengths of 5 ft or less)

    If you are requesting brush pick up please indicate placement by checking at least one box below. (Limbs must be cut in lengths of 5 ft or less)

22. Please select one*

    1. Brush
    2. Not Applicable

23. Check one or more boxes to indicate placement of BRUSH.*

    1. Alley
    2. Curb
    3. Side Street

27. Category Two: Bagged Leaves
    If you are requesting bagged leaf pick up please indicate placement by checking at least one of the boxes below.

    If you are requesting bagged leaf pick up please indicate placement by checking at least one of the boxes below.

29. Please select one*

    1. Bagged Leaves
    2. Not Applicable
30. Check one or more boxes to indicate placement of LEAVES*

    1. Alley
    2. Curb
    3. Side Street

34. Category Three: Bagged Grass
    If you are requesting bagged grass pick up please indicate placement by checking at least one of the boxes below.

    If you are requesting bagged grass pick up please indicate placement by checking at least one of the boxes below.

36. Please select one*

    1. Bagged Grass
    2. Not Applicable

37. Check one or more boxes to indicate placement of BAGGED GRASS*

    1. Alley
    2. Curb
    3. Side Street

41. Category Four: Debris / Bulky Items
    This section is for items other than brush, bagged leaves or bagged grass. If you have made an entry please check placement.

    This section is for items other than brush, bagged leaves or bagged grass. If you have made an entry please check placement.

43. Debris (bulky Items) - please list:

44. Check one or more boxes to indicate placement of BULKY ITEMS*

    1. Alley
    2. Curb
    3. Side Street

46. For liability reasons, the City will not reach over the fence or come on to property to collect items.

Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field