Brownfield, TX · Terry County
Application for Utility Service
Customers use this City of Brownfield application to provide account and service-address information and agree to pay for utilities furnished at the service connection.
What this form is
This application collects information for customers seeking utility service from the City of Brownfield. It asks for customer names, identification numbers, service and billing addresses, employment details, references, and other customer information. By signing, the customers guarantee payment for utilities furnished at the listed service connection and accept joint and several liability.
Who needs it
Customers applying for utility service at a listed service connection provide their information and signatures on this application.
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 application is signed and dated without a notary; the form lists no notarized attachment or related sworn step.
How to submit this form
- 1
Download The Application
Download the City of Brownfield Application for Utility Service PDF.
- 2
Complete The Application
Enter the requested customer, service-address, billing, employment, and reference information.
- 3
Review And Sign
Review the payment guarantee and have the listed customers sign and date the application.
- 4
Submit To The City
Submit the application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Application for Utility Service request?
- It requests customer names and identification numbers, service and billing addresses, employment information, references, and details about other customers.
- Do I need a notary for the Application for Utility Service?
- No. The application is signed and dated without a notary, and it lists no notarized attachment or related sworn step.
- How do I submit the Application for Utility Service?
- Submit it to the city department named on the form; check the city website for current contact details.