Online ApplicationsTontitown Online Applications

Customer Name:*
E-Mail:*
Customer Information
Welcome to Tontitown Water Utility's Utility Billing Adjustment Request webpage. Follow the step-by-step process to complete the application.

Once you have submitted your online application, TWU staff will review your application and contact you if there are any questions or if your application is denied.

Service Address:*
Cell Phone:
Phone:*
BILLING ADJUSTMENT REQUEST
* REQUIRED
Account Number:*
Signature of Customer:
First Name:*
Last Name:*
Protection Code:* Please, enter the text shown in the image into the field above. captcha code reload image
I am applying for a possible credit adjustment on my utility account with the understanding that once the review process has been completed, the account may not be eligible for a credit, the review process is performed in the order the requests are received and credits issued will be reflected on my utility statement as an adjusted amount within the 30 day period. I understand utility accounts are allowed no more than one adjustments each year. I understand that payment may not be withheld; the payment must be current to avoid the 10% penalty. I am aware that the criteria for bill adjustments can be found in the Terms and Conditions of Service. or is available upon request at the Tontitown Water Utility office. I have read these terms and fully understand them.
Bill Due Date:* (To avoid late charges, pay your bill by the due date. If an adjustment is approved it will be credited to your account.) Statement of Repair. Please include a description of where the leak was and how it was found.* Please select: Have you had service for the past twelve months?* Date of Leak:* date selector Date or Repair:* date selector Please upload a copy of the repair invoice (if repaired professionally) or a copy of repair receipts (if repaired by self): By checking this box I agree that I have attached a copy of the repair invoice/receipts or will email them at a later time. Documents can be emailed to billing@tontitownar.gov.* (Your request cannot be processed until we receive these documents)

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