Emory, TX · Rains County
Water Service Agreement
Emory water customers sign this agreement before service begins to acknowledge plumbing restrictions and responsibilities for preventing contamination of the public water supply.
What this form is
The agreement explains restrictions on connections that could contaminate the public water supply and sets out customer responsibilities for inspections and backflow prevention devices. The City of Emory requires a signed copy before starting water service and before restoring service to an existing connection that was suspended or terminated. It includes spaces for a customer signature, service address, date, and an optional request to keep personal information confidential.
Who needs it
Customers seeking new Emory water service, or restoration of suspended or terminated service, must sign the agreement before service begins or resumes.
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 document does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Agreement
Download the Water Service Agreement PDF.
- 2
Complete The Agreement
Sign and date the agreement, and provide the service address. Complete the confidentiality request section only if you want to request confidentiality.
- 3
Gather Attachments
The document does not identify any required attachments.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Water Service Agreement?
- No. The agreement calls for the customer’s signature and date, not a notary. It does not identify an attachment or related step that must be notarized or sworn.
- Who needs to sign the agreement?
- A customer must sign before the City of Emory begins water service. The Water System also requires a signed copy before restoring service to an existing connection that was suspended or terminated.
- What responsibilities does the agreement describe?
- It covers allowing inspections for cross-connections and contamination hazards, addressing hazards found on the property, and installing, testing, and maintaining required backflow prevention devices.
- How do I submit the Water Service Agreement?
- The document does not give a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.