Online ApplicationsTontitown Online Applications

Customer Name:*
Customer Information
Welcome to Tontitown Water Utility's Utility Payment Extension Agreement 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.

Extension agreements are available to customers only once every three months for a maximum of four times in a twelve month period.
Service Address:*
Cell Phone:
I certify that I have read and understand the policy on Utility Payment Extensions in the Terms and Conditions of Service which is found HERE*
I also understand that it is my responsibility to call the water department and verify approval/disapproval of this request.
Account Number:*
Signature of Customer:
First Name:*
Last Name:*
Protection Code:* Please, enter the text shown in the image into the field below. captcha code reload image (Up to fourteen calendar days) Past Due Balance:* Requested Payment Date:* date selector
I agree to pay the past due amount on or before the Requested Payment Date.

I understand that I may request an extension agreement once every three months up to fourteen days. I further understand that failure to comply with this Extension Agreement will result in the disconnection of utility service without further notice.

Bill Due Date:*
Driver's License #:*

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