APPLICATION PROCESS
1. Complete this application form.
2. Provide a receipt or proof of purchase if you’re smart controller requires a subscription
for weather-based signal information.
3. Send your completed application to the Public Works Department:
City of Forney
Smart Controller Program
P O Box 826
Forney, Texas 75126
Public Works
PO Box 826
402 N Bois d arc
Forney, TX
75126
972-564-7340 O
469-689-0719 F
cityofforney.org
publicworks@cityofforney.org
APPLICATION
WATER CUSTOMER INFORMATION
First Name: Last Name:
Billing address:
City: State: ZIP Code:
Smart Controller Address (if different)
Own Rent
(Please circle)
Home # Mobile#
Email: Water Account #
SMART CONTROLLER INFORMATION
Manufacturer: Model:
# of Zones: Date (of ownership)
On-Site Monitor or Sensor Yes No Weather Data Subscription Yes No
Property Type (check one) Single-family ( ____# of residents) HOA (common area)
Multi-family ( ____ # of residents) Irrigation Meter (only)
INSTALLER INFORMATION
Company Name (Home Builder/Owner/Landscape Professional):
Installers Name: Phone #
License # (for irrigation professionals)
DISCLAIMER
I CERTIFY THAT THIS SMART CONTROLLER WAS PURCHASED AND INSTALLED AT THE ADDRESS LISTED ABOVE. I
HAVE ATTACHED THE NECESSARY DOCUMENTS FOR REGISTRATIONS. I UNDERSTAND THAT THE INSTALLATION OF
AN APPROVED SMART CONTROLLER DOES NOT GUARANTEE A REDUCTION IN MY WATER BILL OR MY WATER
USAGE.
SIGNATURES
Signature of Water Customer: Date:
Please print, sign and either mail, email for fax back to the Public Works Department to complete registration.
