Petersburg, TX · Hale County
Water Request Form
Residents requesting a water meter connection use this form to provide account details and acknowledge the stated charges and payment terms.
What this form is
This form requests a water meter connection from the City of Petersburg. It records the applicant’s identity and contact details, required identification numbers, spouse or other account information, and last service address. The signer acknowledges the stated $100 deposit and $30 service charge before connection, any existing city balance that must be paid, monthly payment terms, and responsibility for account charges.
Who needs it
Residents requesting a water meter connection from the City of Petersburg should complete this form and provide the required applicant and contact information.
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 form is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the City of Petersburg Water Request Form.
- 2
Complete The Request
Fill in the applicant’s details, required identification and contact information, any spouse or other account information, and the last service address.
- 3
Review The Water Policy
Review the attached water policy referenced on the form.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Water Request Form?
- No. The form provides signature and date lines but no notary block; it does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the Water Request Form?
- The form does not give submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the Water Request Form ask for?
- It asks for applicant and spouse or other account-holder details, identification numbers, addresses, phone numbers, and the last service address.
- What charges are listed on the form?
- The form states that a $100 deposit and a $30 service charge are due before connection. It also describes payment terms and charges for late or unpaid bills.