Angleton, TX · Brazoria County

No notary required

Temporary Account Hold Request

Angleton water customers use this form to request a temporary hold that turns off water, sewer, and garbage service for an account.

What this form is

This form is for customers requesting a temporary hold on an Angleton utility account; the hold turns off water, sewer, and garbage service. It asks for the date, time, customer name, account number and type, phone number, service address, and service start date. The customer initials an acknowledgment about usage and charges, and the form includes signature and date lines for the hold and later reactivation.

Who needs it

A customer who wants to place an Angleton water, sewer, and garbage account on temporary hold should complete this request.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This request is signed and dated without a notary; the form identifies no attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Temporary Account Hold Request PDF.

  2. 2

    Complete The Request

    Fill in the date and time, customer and account details, phone number, service address, and date to start service.

  3. 3

    Review And Sign

    Initial the acknowledgment and complete the signature and date lines provided on the form.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What services does a temporary account hold turn off?
The form states that a temporary hold turns off all service, including water, sewer, and garbage.
What information does the request ask for?
It asks for the customer name, account number and type, date and time, phone number, service address, and date to start service.
Do I need a notary for a Temporary Account Hold Request?
No. The form is signed and dated without a notary, and it identifies no attachment or related step that must be notarized or sworn.
How do I submit a Temporary Account Hold Request?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Temporary Account Hold Request doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.