Water Service Request

Complete this application to initiate water service, add sanitation carts, and acknowledge the service agreement.

1

Applicant Information

2

Co-Applicant

3

Property Use

4

Sanitation

5

Acknowledgement

Applicant Information

Name*Service Request Date*

Service Address*Mailing Address (if different)

D.L #*State*Date of Birth*Social Security #*

Home #Cell #*Alternate #Work #

Bill Type

How would you like to receive your bill?

MailEmailBoth (preferred)

Co-Applicant

Co-Applicant NameCell #

D.L #StateDate of BirthSocial Security #

Email

Property Use

Select one:

RentOwner will occupy the homeOwner will be leasing the home to a tenant

Landlord's Name*Phone #*

Sanitation

Number of Trash Carts Needed*Number of Recycle Carts Needed*

Please note one (1) trash and recycle cart is provided with the account at no additional charge. Additional carts incur a monthly fee.

Check all that apply

Sprinkler SystemPoolNone

Selected: None

Acknowledgement

I acknowledge water service will be turned on at the above property. I will not hold the City of Royse City responsible for any property damage due to the water being turned on without my presence. I acknowledge if the home has a timer water usage, it will be turned off and my presence will be required for connection of service.

Applicant Agreement*

Required to submit the request.

I agree to the acknowledgement statement above.Co-Applicant Agreement

Optional confirmation for co-applicants.

The co-applicant also agrees to the acknowledgement statement.