Cleburne, TX · Johnson County
Cart Assistance Form
Cleburne residents use this form to request special trash cart assistance when no one at their residence can move the cart to the curb.
What this form is
The form is for residents seeking the City of Cleburne Sanitation Department’s Special Cart Assistance Program for trash. It asks for the resident’s contact and account information, address, and reason for the request, and includes a statement confirming no one at the residence can move the cart to the curb. A physician must answer questions about the resident’s ability to move the cart and expected medical improvement, then sign and date the form.
Who needs it
A resident requesting special trash cart assistance completes the resident section, and a physician completes and signs the medical section.
How to submit it
Mail the completed form to City of Cleburne Sanitation Department, PO Box 677, Cleburne, TX 76033.
About notarization
This form is signed without a notary; the resident and physician sign and date their respective sections.
How to submit this form
- 1
Download The Form
Download the Cart Assistance Form.
- 2
Complete Resident Details
Enter your name, phone, account number, address, and reason for the request, then complete the resident statement.
- 3
Have A Physician Complete The Form
Ask a physician to answer the medical questions and sign and date the physician section.
- 4
Mail The Completed Form
Mail the form to City of Cleburne Sanitation Department, PO Box 677, Cleburne, TX 76033.
Frequently asked questions
- Who completes the Cart Assistance Form?
- The resident provides contact, account, address, and request details. A physician completes the medical questions and signs and dates that section.
- Do I need a notary for the Cart Assistance Form?
- No. The resident and physician sign and date their respective sections; the form does not require a notary.
- How do I submit the Cart Assistance Form?
- Mail the completed form to City of Cleburne Sanitation Department, PO Box 677, Cleburne, TX 76033.
Need something notarized?
This Cart Assistance Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.