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Collection Statistics Form

  1. City of Allen Collection Statistics Form

  2. Enter the day of clean up.

  3. List Name of Organization as Listed on Contract If Applicable

  4. List Adopter Area Number or Detailed Road Explanation

  5. Number of volunteers participating:

  6. Enter the total bags collected.

  7. Enter the estimated weight in LBS of oversized or odd items.

  8. Number of hours spent collecting:*

    Please round to the nearest half-hour:

  9. List the approximate distance cleaned in miles. Your route x2.

  10. REMINDER: Don't forget to report broken items. If not under contract, please return all supplies to the Utility Billing Window at City Hall within 3 days of your cleanup. Formal Adopters will need to restock during contract season (October - December).

  11. Please indicate if your contact information has changed.

  12. Leave This Blank:

  13. This field is not part of the form submission.