Liverpool, TX · Brazoria County
New Water Tap Payment Form
This form records a customer’s request for new water service and agreement to pay for the water tap, meter, and deposit.
What this form is
Use this form when requesting new water service at an address where service is not already available. It describes the customer’s responsibility for tap and meter costs and a $100 deposit, and offers payment options for an existing structure or empty lot. The customer provides the service address, selects a payment arrangement, and signs, prints their name, and dates the form.
Who needs it
A customer requesting new water service at an address where service is not already available should complete and sign this form.
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 document is signed without a notary; the customer signs and dates it, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the New Water Tap Payment Form.
- 2
Complete The Form
Provide the service address and select the payment arrangement that applies.
- 3
Review The Costs
Review the listed tap, meter, and deposit costs and the payment terms.
- 4
Sign And Submit
Sign and date the form, then submit it to the city department named on the form.
Frequently asked questions
- What does the New Water Tap Payment Form cover?
- It records a request for new water service and the customer’s responsibility for tap, meter, and deposit costs, with payment options described for an existing structure or empty lot.
- Who should complete this form?
- A customer requesting new water service at an address where water service is not already available should provide the service address and complete the form.
- Do I need a notary for the New Water Tap Payment Form?
- No. The customer signs and dates this form; it does not mention a notarized or sworn attachment.
- How do I submit the New Water Tap Payment Form?
- Submit it to the city department named on the form; check the city website for current contact details.