Wastewater Service Application

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Wastewater Service Information

Why type of wastewater service are you applying for?

Residential

Commercial

Is this a new service or service transfer? *

New Service (Security Deposit: $100. Deposit will be applied to final bill upon termination of service.)

Service Transfer (Transfer Fee: $30. Transfer fee is due prior to transfer.)

Service Location's Address *

City *

State *

Zip Code *

Applicant Information

First Name of Applicant *

Last Name of Applicant *

Mailing Address of Applicant *

City *

Phone Number *

State *

Email Address *

Landlord Account *

Yes

Drivers License # *

Date of Birth *

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State of Drivers License *

Fees

You can pay for your $30 service transfer fee payment online HERE.

Wastewater Service Fee Receipt File Upload *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Confidential

IN ACCORDANCE WITH TEXAS UTILITIES CODE, CHAPTER 182, IF RESIDENT REQUESTS THEIR ADDRESS, PHONE NUMBER, SOCIAL SECURITY NUMBER, USAGE AND BILLING HISTORY BE KEPT CONFIDENTIAL, THE CITY WILL NOT DISCLOSE THE INFORMATION EXCEPT AS REQUIRED OR MANDATED BY LAW.

Would you like your account to be confidential? *

Yes

Authorization

THE UNDERSIGNED AGREES TO:

Receive wastewater service from the Village of Salado subject to the terms and conditions of the Village's Wastewater Ordinance and other applicable laws.
Pay the monthly Wastewater Bill for the service address listed above.

Payment must be received by date specified on the bill or you will incur late fees and/or termination of service.

Name of Applicant *

Date *

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Wastewater Service Application

THE UNDERSIGNED AGREES TO:

Contact Information