Hays County, TX · Hays County
Service Provider Acknowledgement Form
Utility service provider representatives use this form to acknowledge service availability and capacity for property shown on a proposed plat or preliminary plan.
At a glance
- Issued by
- City of Hays County · Hays County, Hays County, Texas
- Notarization
- Not required: file this form without a notary.
- Official source
- hayscountytx.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Utility service provider representatives use this form to acknowledge that they reviewed a proposed plat or preliminary plan, will provide service, and have sufficient capacity for the property. It requests property details and company and representative information for electric, gas, and telephone providers. A Texas Department of Transportation representative must also sign if the property fronts a state-maintained roadway.
Who needs it
Utility service provider representatives complete and sign the sections for their services; a Texas Department of Transportation representative signs when the property fronts a state-maintained roadway.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This form is signed without a notary; each applicable representative signs and dates the form.
How to submit this form
- 1
Download the Form
Download the Service Provider Acknowledgement Form.
- 2
Complete Property Details
Enter the property address or street name, Hays CAD Quick Reference ID, subdivision name, and applicable phase, section, block, and lot.
- 3
Complete Provider Sections
Have each applicable utility representative enter company and contact information, acknowledge the statements, and sign and date the form.
- 4
Submit to the County
Submit the completed form to the county department named on it; check the county website for current contact details.
Frequently asked questions
- Who completes the Service Provider Acknowledgement Form?
- Representatives of electric, gas, and telephone utility service providers complete and sign their sections. A Texas Department of Transportation representative signs if the property fronts a state-maintained roadway.
- What information does the form request?
- It asks for property and subdivision details, utility company and representative contact information, and signatures and dates. Representatives acknowledge service, service-area coverage, capacity, and required agreements and requirements.
- Do I need a notary for the Service Provider Acknowledgement Form?
- No. The form has signature and date lines for applicable representatives and does not require a notary.
- How do I submit the Service Provider Acknowledgement Form?
- Submit it to the county department named on the form; check the county website for current contact details.