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Residential Utility Service Application

  1. Applicant Information

  2. Co-Applicant Information

  3. Service Location Information

  4. (If different from above)

  5. If Renting

  6. Information About the Applicant

  7. If Transferring

    A $20.00 service fee will be added to the new account.

  8. Account Deposit*

    The deposit for a new account is $120. The refundable deposit is $100 and the service fee is $20. Please check how you are going to be paying.

  9. Trash Services

    Trash services are $14.80 plus tax which includes one polycart. Additional poly carts will be charged on your utility bill each month at a rate of $4.13 plus tax per poly cart.

  10. About your deposits

    The City of Bullard requires that every utility customer pay a deposit upon opening or re-establishing an account with the city to guarantee payment on the account for water, sewer, and solid waste services rendered. A deposit is required for every location serviced by the City. Therefore, customer pays the deposit with the express understanding and agreement that the city may apply all or any part of the deposit towards an arrearage on the account ins satisfaction of the amount owed. Deposits are refunded to the customer upon closing an account. The City will refund the deposit less any amount owed to the City. The refund is paid by check and is mailed within 30-60 days of the final meter reading on the account. The customer is responsible for providing the forwarding address to the City.

  11. Disconnection Policy

    The City of Bullard utility services are subject to disconnection and the 1st of the month for non-payment, accrual of 10% late payment charge and re connection fees.

  12. Agreement

    I (applicant/co-applicant) hereby request the City of Bullard to provide utility services at the above location. I (applicant/co-applicant) agree to pay all charges for services rendered as a result of this request. I (applicant/co-applicant) understand and agree that failure to pay any amount due to the City can result in services not being connected/reconnected until such payment has been received.

  13. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  15. This field is not part of the form submission.