2. Meter Type:*
   -- Select One --ResidentialCommercialIrrigationFire Hydrant ($2500 security deposit due with application)
3. Service Start Date*
   Service Start Date
4. Service connections are made Monday through Friday between 8:00am and 4:00pm. For same day connections, the application must be submitted before 12:00pm (noon). For residential accounts this will include trash and recycling.
8. House Bill 872 applies that a municipality owned utility may not disclose customer information under the Public Information Act unless the customer elects to make the information public or certain exceptions apply. If you would like to elect to disclose your personal information, please contact our office at 817.748.8051.
10. Service Address*
12. Billing address if different from service address
14. City
15. State
16. Zip
20. First Name*
21. Last Name*
22. 4 Digit Password*
24. Business Name (If not a residential account)
26. Email*
27. Cell Phone Number (Enter With No Dashes) *

    *Southlake Water Utilities will use this number to communicate with you about your water bill

28. I would like to sign up for E-Bill. *

    1. Yes
    2. No

    *Monthly bills will be emailed to the applicant's email address listed on this application. 

32. Co-Account Holder
34. First Name
35. Last Name
36. 4 Digit Password
38. Email
39. Cell Phone Number (Enter With No Dashes)

    *Southlake Water Utilities will use this number to communicate with you about your water bill

43. Authorized User: Inquiry Access Only
45. First Name
46. Last Name
47. 4 Digit Password
51. Terms and Conditions*

    1. I agree

    Please check the box confirming your agreement to the Terms & Conditions of service.

52. Resident:
    Residential Terms & Conditions
53. Business:
    Commercial Terms & Conditions
57. Upload Required Documentation: Attachment may be a purchase agreement, contract, settlement, deed, lease or any legal document
58. File Upload*
59. Additional file
Leave This Blank:


60. Submit Submit and Print

* indicates a required field