City of Forney (972) 564-7304
Water/Sewer Service Application Request (972) 552-1028 FAX
ALLOW 24 HOUR NOTICE TO IMPLEMENT REQUEST
Today's Date Effective Date Service Address
Billing Name Billing/Forwarding Address
Property Owner's Name Account # (Existing ONLY)
Home/Cell Phone Work Phone Date of Birth
Drivers License Number/State Social Security Number # of People in Household
Email Address Employer's Name
Co-Applicant Home/Cell Phone Work Phone
Drivers License Number/State Social Security Number Date of Birth
Email Address Employer's Name
Have you ever had service in Forney? No Yes If yes, location(s)__________________________________________
Business Name Applicant's Name & Title
Type of Business Billing Contact Phone Number Fax Number
Contact Email Address Tax ID/Social Security Number
Signature of Applicant: _______________________________________ Signature of Co-Applicant: __________________________________
Confidential Request Form
Start Date Date Paid Amount Paid Previous Service
Cash Check # Completed By Account #
RESIDENTIAL SERVICE ONLY-$100($75 Refundable Deposit+$25 Application Fee)Required/*Temporary Service $38.50 non-refundable
COMMERCIAL SERVICE ONLY-$300($275 Refundable Deposit+$25 Application Fee)Required
ubquestions@cityofforney.org
Connection Disconnect (Must be on acct) Temporary Service
Signature of Applicant: __________________________________________
I certify that I am at least 18 years of age and I hereby apply for services at the above address, to be furnished at the standard rates and
under the terms and conditions of the City, on file in the the City Office. The above deposit amount will be held until applicant discontinues
water service or Residential account has 36 continuous months of no penalties. I acknowledge water service will be turned on at the above
property. I will not hold the City of Forney responsible for any property damage due to the water being turned on without my presence. I
acknowledge if the meter shows water usage, it will be turned back off and my presence will be required for connection of service. A copy
of the driver's license, state issued or military ID must be provided before services can begin.
*Temporary Service: A maximum of 14 days and 2,000 gallons of usage. Usage of 2,001 gallons and over (per thousand gallons) has an
additional charge.
I hereby do request that the utility record information as authorized by chapter 182 of the Texas Utilities Code be kept
confidential.
Garbage: Commercial accounts are required to set up and pay for garbage service with CWD. CWD will be notified of the
activation of your account. Non-payment of your utility account can result in disruption of your water service.
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