Service Request

Please complete the form below to request new service or other customer service needs. Service cannot be connected on weekends or holidays. If you have any questions, please feel free to contact our customer service team during normal business hours. 832-771-4246 or 833 CALL IUO (833-225-5486)

Step 1 of 2

Today's Date *

Date Service is Desired

Type of Customer Request *

Structure Type

Is water available at this location?

Applicant First Name *

Applicant Last Name *

Applicant Cell Phone *

Applicant Email *

Applicant Confirm Email *

Spouse Last Name

Spouse First Name

Spouse Cell Phone

Service Address *

Physical (911) Street Address

City *

Zip Code *

Billing Address Same as Service Address?

Billing Address

Billing City

Billing Zip Code

Proof of Residency (Lease, Deed)

Click or drag files to this area to upload. You can upload up to 12 files.

The undersigned "Applicant" submits this application for water and/or sewer services and hereby certifies that the information provided herein is true and correct. *

Agree

Applicant Name: *

Notes or Comments

Customer Service Agreement

SECTION 1. PURPOSE:

The “District” is responsible for protecting its Water Supply System from contamination or pollution which could result from unacceptable plumbing practices. The purpose of this Service Agreement is to notify each customer of the plumbing restrictions which are in place to provide this protection. The District enforces these restrictions to ensure the public health and welfare. Each customer must sign this Customer Service Agreement before the District will begin service. In addition, when service to an existing connection has been suspended or terminated, the District will not re-establish service unless it has a signed copy of this Customer Service Agreement.

SECTION 2. PLUMBING RESTRICTIONS:

The following unacceptable plumbing practices are prohibited by State regulations:

No direct connection between the District’s Water Supply System and a potential source of contamination is permitted. Potential sources of contamination shall be isolated from the public water system by an air vapor or an appropriate backflow prevention device.
No cross connection between the District’s Water Supply System and a private water system is permitted. These potential threats to the District’s Water Supply System shall be eliminated at the service connection by the installation of an air gap or a reduced pressure zone backflow prevention device.
No connection which allows water to be returned to the District’s Water Supply System is permitted.
No pipe or pipe fitting which contains more than 0.25% lead may be used for the installation or repair of plumbing at any connection which provides water for human use.
No solder or flux which contains more than 0.2% lead can be used for the installation or repair of plumbing at any connection which provides water for human use.

SECTION 3. SERVICE AGREEMENT:

The following are the terms of this Customer Service Agreement between the “District” and the “Customer”:

The District will maintain a copy of this Customer Service Agreement as long as the Customer and/or the premises is connected to the District.
The Customer shall allow his/her property to be inspected for possible cross connections and other unacceptable plumbing practices. These inspections shall be conducted by the District or its designated agent prior to initiating new water service; when there is reason to believe that cross-connections or other unacceptable plumbing practices exist; or after any major changes to the private plumbing facilities. Inspections shall be conducted during the District’s normal business hours.
The District shall notify the Customer in writing of any cross-connection or other unacceptable plumbing practices which have been identified during the initial inspection or the periodic reinspection.
The Customer shall immediately correct any unacceptable plumbing practice on his/her premises.
The Customer shall, at his expense, properly install, test, and maintain any backflow prevention device required by the District. Copies of all testing and maintenance records shall be provided to the District.

SECTION 4. ENFORCEMENT:

If the Customer fails to comply with the terms of this Service Agreement, the District shall, at its option, either terminate service or properly install, test, and maintain an appropriate backflow prevention device at the service connection. Any expenses associated with the enforcement of this Service Agreement shall be billed to the Customer.

NOTE: THE PURPOSE OF THE CUSTOMER SERVICE AGREEMENT IS TO NOTIFY CUSTOMERS OF THE PLUMBING RESTRICTIONS OF THE DISTRICT ADOPTED TO PROTECT THE DISTRICT’S WATER SUPPLY SYSTEM. INSPECTIONS CONDUCTED BY THE DISTRICT’S OPERATOR IN ACCORDANCE WITH THIS SERVICE AGREEMENT ARE FOR THE SOLE PURPOSE OF DISCOVERING AND ELIMINATING UNACCEPTABLE PLUMBING PRACTICES. THE DISTRICT OR THE DISTRICT OPERATOR MAKES NO REPRESENTATION AS TO THE ADEQUACY, QUALITY, OR FITNESS OF THE CUSTOMER’S PRIVATE PLUMBING FACILITIES.

Signature *

Address *

Address Line 1

City

State

Zip Code

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