Mission, TX · Hidalgo County
Disconnection / Reconnection Form
City of Mission water customers use this form to request service disconnection or reconnection and provide account, identification, service address, and requested dates.
What this form is
The City of Mission Utility Water Department form lets a customer request water service disconnection and provide a reconnection date. It asks for the account number, customer name, identification details, service address, requested dates, signature, and forwarding address if needed. The form notes fees for temporary disconnection and restoration of temporarily disconnected water, and says meter deposits are reimbursed after the final bill.
Who needs it
A City of Mission water customer requesting disconnection or reconnection should complete the form and attach a copy of a driver's license or other identification.
How to submit it
Send the form to the Utility Water Department by fax at (956) 580-8659 or email it to [email protected]. The form also lists 1201 E. 8th St., Mission, TX 78572.
About notarization
The customer signs this form without a notary; the form asks for a copy of the customer's driver's license or other identification.
How to submit this form
- 1
Download The Form
Download the City of Mission Disconnection / Reconnection Form.
- 2
Complete The Form
Enter the account, customer, identification, service address, and requested dates; select the applicable service options and sign.
- 3
Attach Identification
Include a copy of your driver's license or other identification, as requested on the form.
- 4
Submit To The Utility Water Department
Send it by fax or email, or use the department address listed on the form.
Frequently asked questions
- Do I need a notary for the Disconnection / Reconnection Form?
- No. The customer signs the form without a notary. It asks for a copy of a driver's license or other identification.
- How do I submit the Disconnection / Reconnection Form?
- The form lists the Utility Water Department fax number, email address, and mailing address: 1201 E. 8th St., Mission, TX 78572.
- What information does the form ask for?
- It asks for the account number, customer name, identification details, service address, requested disconnection and reconnection dates, signature, and forwarding address if needed.
- Does the form mention any fees?
- Yes. It lists a $3 monthly fee for temporary disconnection and says a $20 service fee must be paid to restore temporarily disconnected water.