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2. Please note that the recycling and garbage containers are the property of the City of Homestead and therefore are not to be removed from the property.
6. First Name*
7. Last Name*
9. E-Mail Address*
10. Phone Number *
12. Subdivision and/or Community Name*

    Please include both your main subdivision name and individual community.

14. Address*
16. City*
17. State*
18. Zip*
20. Service Type*
    -- Select One --Recycling CanGarbage Can
21. Damage*
    -- Select One --Cracked (body)Broken/Missing WheelsBroken/Missing LidBroken HingesBroken/Missing Wheel AxleBurned Can (replacement fee)None
23. Existing Recycling Container at Location*

    1. Yes
    2. No
24. Existing Garbage Container at Location*

    1. Yes
    2. No
26. Repair/Replacement Instructions

    Per repair/replacement request, please leave container at curbside until it has been repaired or replaced. Place a note on the can, “City to repair/replace” and leave the can curbside untiled repaired/replaced. Notify your homeowner association or management company that the City has directed you to leave the can curbside until repaired/replaced. If you do not leave the can curbside, the work order will be closed.

28. Notes/Suggestions
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field