Online ApplicationsTontitown Online Applications

Customer Name:*
E-Mail:
Welcome to Tontitown Water Utility's Residential Service Application webpage. Follow the step-by-step process to complete the Service application.

Once you have submitted your online application, TWU staff will review your application and contact you if there are any questions. Once your application has been reviewed, and we have received your payment, we will start your service.
Mailing Address 1:*
Cell Phone:
Home Phone:*
Fax:
City:*
State:*
Zip:*
RESIDENTIAL SERVICE APPLICATION
Contact Information
Service Address:*
* REQUIRED
Mailing Address 2:
Work Phone:
Driver's License #:*
Last water company with which you had service:* Previous Address: (Act 769 of 2003)*
Service Information
Date Service Requested:* date selector Solid Waste Service: Recycling (Additional cost per month) Sewer Service Water Service Irrigation. If yes, provide proof of backflow prevention device certification within 10 days of service connection. Please provide a copy of your driver's license.
By checking this box I agree that I have attached a digital copy of my driver's license or will email a copy. Files can be attached to an email and sent to billing@tontitownar.gov. *
Would you like to receive your bill by email:* Please provide a signed backflow prevention device installation agreement, which can be found HERE.
This service agreement and deposit is to guarantee the due payment of any indebtedness for any service due Tontitown Water Utility. This deposit shall be retained in escrow, without interest, by Tontitown Water Utility.

The undersigned customer also agrees to comply with all rules and regulations of Tontitown Water Utility now in effect or those that may be hereafter established by Tontitown Water Utility. When service to the above customer at the stated address is permanently discontinued, and payment of all amounts due the Tontitown Water Utility are cleared, said service deposit shall be applied to the final billing and the remainder, if any, returned to the depositor. I am aware that TWU Terms and conditions of Service can be found HERE.
I AGREE AND UNDERSTAND THAT I MUST PROVIDE WRITTEN NOTICE OF DISCONNECT WHEN I VACATE THE SERVICE ADDRESS.
I AGREE AND ACCEPT THE TONTITOWN WATER UTILITIES TERMS AND CONDITIONS OF SERVICE, INCLUDING ANY UPDATES, REVISIONS AND AMENDMENTS.
Signature of Owner or Representative:
First Name:*
Last Name:*
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