Tomball, TX · Harris County
Citizen’s Assistance Program Form
Tomball residents who cannot physically place bags or carts at the designated collection location use this form to request special assistance.
What this form is
The Citizen’s Assistance Program (CAP) Form lets residents request special assistance with waste collection when they are physically unable to place bags or carts at the designated collection location. It asks for the resident’s name, service address, phone number, and signatures and dates from both the resident and a doctor.
Who needs it
Tomball residents who are physically unable to place their bags or carts at the designated collection location can use this form to request assistance.
How to submit it
Submit the completed form to City of Tomball, 501 James St., Tomball, TX 77375, by fax at (281) 351-4735, or by email to [email protected].
About notarization
No notary is required: the resident and doctor sign and date the form, which has no notary block.
How to submit this form
- 1
Download the Form
Download the Citizen’s Assistance Program Form.
- 2
Complete the Resident Information
Enter the resident’s name, service address, and phone number.
- 3
Get Both Signatures
Have the resident and a doctor sign and date the form.
- 4
Submit to the City
Send the completed form to the City of Tomball by mail, fax, or email using the contact details provided.
Frequently asked questions
- What is the Citizen’s Assistance Program Form for?
- It lets residents who are physically unable to place bags or carts at the designated collection location request special assistance.
- Who signs the form?
- The form has spaces for the resident and a doctor to sign and date it.
- Do I need a notary for the Citizen’s Assistance Program Form?
- No. The form has no notary block; the resident and doctor sign and date it.
- How do I submit the Citizen’s Assistance Program Form?
- Submit it to City of Tomball at 501 James St., Tomball, TX 77375, by fax at (281) 351-4735, or by email to [email protected].
Need something notarized?
This Citizen’s Assistance Program Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.