Emory, TX · Rains County
Utility Service Agreement
City of Emory water customers sign this agreement before service begins or is restored after suspension or termination.
What this form is
The City of Emory requires water customers to sign this agreement before starting service, and it requires a signed copy before restoring suspended or terminated service. It describes plumbing restrictions and customer responsibilities, including allowing inspections and installing, testing, and maintaining required backflow prevention devices. The document also includes an optional confidentiality request for customer information.
Who needs it
Water customers seeking new or restored service sign the agreement, and customers may also complete its optional confidentiality request.
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 the agreement and may also sign and date the optional confidentiality request.
How to submit this form
- 1
Download The Agreement
Download the Utility Service Agreement PDF.
- 2
Complete The Agreement
Review the terms and sign and date the agreement as the customer.
- 3
Complete Optional Request
If desired, check the confidentiality request box, fill in the requested information, and sign and date it.
- 4
Submit To The City
Submit the completed document to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Utility Service Agreement cover?
- It explains plumbing restrictions, inspections, backflow prevention responsibilities, and an optional request to keep customer information confidential.
- When must I sign the agreement?
- The document says each customer must sign before the city begins water service. A signed copy is also required to restore suspended or terminated service.
- Do I need a notary for the Utility Service Agreement?
- No. The document is signed and dated by the customer without a notary; it also includes an optional confidentiality request to sign and date.
- How do I submit the Utility Service Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.