Shiner, TX · Lavaca County
Service Agreement for Drinking Water Supply
This agreement tells Shiner water customers about plumbing restrictions and sets out the terms they accept before water service begins.
What this form is
The City of Shiner requires each customer to sign this agreement before beginning water service, and requires a signed copy before restoring service to a connection that was suspended or terminated. It explains restrictions on plumbing connections and backflow prevention, inspection access, correction of plumbing problems, and customer costs. The document also includes a Customer Service Inspection Certificate with fields for service and inspection details.
Who needs it
Customers seeking new or restored City of Shiner water service must sign the agreement, and an inspector completes the included inspection certificate.
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 agreement is signed and dated without a notary; the included Customer Service Inspection Certificate is signed by an inspector, and no notarization is stated.
How to submit this form
- 1
Download The Agreement
Download the drinking water service agreement and included Customer Service Inspection Certificate.
- 2
Complete The Agreement
Print the customer name and physical address, then sign and date the agreement.
- 3
Complete The Inspection Certificate
The certificate includes fields for service details, inspection results, inspector information, and signature.
- 4
Submit To The City
Submit the signed agreement to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who signs the Shiner drinking water service agreement?
- The customer signs the agreement before the City of Shiner begins water service. A signed copy is also required before service resumes after suspension or termination.
- What does the agreement cover?
- It covers plumbing restrictions, inspection access, correction of plumbing problems, and customer responsibility for required backflow prevention devices and related costs.
- Do I need a notary for the drinking water service agreement?
- No. The agreement is signed and dated without a notary. The included Customer Service Inspection Certificate is signed by an inspector, and the document does not state that notarization is required.
- How do I submit the drinking water service agreement?
- Submit it to the city department named on the form; check the city website for current contact details.