E-Gov Services City of Harlingen

WARNING! Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 911.

Brush/Debris Pickup Estimate

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Purpose. This Action Line Form is used to ask for an estimate of what it will cost to pickup debris or brush at a specific location not currently scheduled for service or for any Commercial Establishment. These pickups are paid in advance and service is rendered on Fridays.

* Information is required.

Contact Information

* First Name:
* Last Name:
Business Name:
Email:
* Daytime Phone:	() –
Fax:	() –
* Address:
* City:
State:
ZIP:

Issue/Problem Location:

* Address	- Or Other Not Listed - Invalid Address The address you entered does not match any in the system. You can select a valid address from the list, or if you are certain the address you entered is correct click the "Use the address I entered" button, to continue. The address you entered
Unit:
	Provide any additional information on problem location in the box below.

* Enter the Address of the exact location of the brush/debris?

Attach a Picture or File (max size: 30MB):

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.