Household Hazardous Waste Collection Request

1. Community Services Department | Allen City Hall | 305 Century Parkway | 214.509.4500

2. Contact Information

3. Name:*

4. Address:*

5. Zip Code:*

6. Email:*

7. Phone:*

8. Phone Type:*
   1. Home
   2. Work
   3. Cell

9. Phone:*

10. Phone Type:*
    1. Home
    2. Work
    3. Cell

11. Phone:

12. Phone Type:
    1. Home
    2. Work
    3. Cell

13. Request Information

14. Please indicate if your regular trash pickup is alley or curbside:*
    1. Alley
    2. Curbside

15. Check all that apply:*
    1. Paint
    2. Chemicals (Garden, Pool, Pesticide, Pet)
    3. Adhesives / Coatings
    4. Automotive Products
    5. Household Cleaners
    6. Cooking Oil
    7. Other
16. **Community Services staff can accommodate only 10 gallons or 50 pounds of HHW materials in a single pickup. If your materials exceed this amount, please indicate in the "Comments" section below.
    Up to three collections can be scheduled with a single request. Please indicate the exact number of gallons/pounds of each type of HHW if more than 10 gallons or 50 pounds total. A maximum of three requests can be processed per year for each household.

    Up to three collections can be scheduled with a single request. Please indicate the exact number of gallons/pounds of each type of HHW if more than 10 gallons or 50 pounds total. A maximum of three requests can be processed per year for each household.

17. Additional Comments or Questions:

Leave This Blank:


18. 1. Receive email copy
19. Email address

20. Submit

* indicates a required field