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2. Instructions

   Use this form to submit a request for a new service garbage can, or for the replacement of a missing/stolen garbage can. 
   Click here to download a printable version of this form.

   If you are requesting repair of a damaged can, please contact GFL Environmental at 910-253-4177.

   Please be aware that garbage cans take 3-5 business days to be delivered.

   All fields are required.

4. Date*
   Date
6. Type of Request*

   1. New

   1. Replacement

   1. Repair
8. Repair Damaged Can Request

   If you are requesting repair of a damaged can, please contact GFL Environmental at 910-253-4177.

10. First Name*
11. Last Name*
13. Phone Number*
14. Email Address*
16. Physical Address*
18. City*
19. State*
20. Zip Code*
22. Tax/Parcel ID Number*

    You can find your Parcel Number using Brunswick County's Property Record Card online search tool.

24. Description of Need*
26. New Construction Home - Certificate of Occupancy

    If you are requesting a garbage can for a new construction home, you must have the Certificate of Occupancy. You can upload the Certificate of Occupancy here, fax it to 910-253-2539, or email it to canrequest@brunswickcountync.gov.

28. Questions

    If you have questions or concerns, contact Brunswick County Solid Waste & Recycling at 910.253.2520 or via email.

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 Submit and Print

* indicates a required field