UCS Forms

Water Funds Income Guidelines 2013.
This document is maintained by Utility Customer Service.

Individuals or businesses can fill out this form to make a regular monthly donation to assist others. Instructions are also given for other methods of donation.
This document is maintained by Utility Customer Service.

Use this form to request assistance from the City of Houston in paying your water bill. Proof of ID and income are also required. Last update: 11/01/11 This document is maintained by Utility Customer Service.

City of Houston ordinance allows residential customers to receive a partial reduction of a bill for unusually high consumption for which there is no known explanation.  Only one bill in a 12-month period may be adjusted.
This document is maintained by Utility Customer Service.

Single-family residential customers receiving a single bill for over 200% of their normal consumption may use this form to request a partial reduction, only if there was no leak and no known cause for the high bill.

This document is maintained by Utility Customer Service.

Contractors seeking permission to be listed on the Public Works and Engineering tap authorization list must also submit this completed application to Utility Customer Service.
This document is maintained by Utility Customer Service.

Customers with sewage holding tanks requiring service by the City of Houston must use this form to apply for an account.
This document is maintained by Utility Customer Service.

Multifamily Water Conservation Incentive Program. This document is maintained by customer.service@houstontx.gov. (Updated 08/26/2011)

This form must be completed and signed in order for UCS to test the accuracy of your meter. Charges may apply.
Last Updated: 06/05/2012.
This document is maintained by Utility Customer Service.

Leak Adjustment (Spanish): Customers who have suffered and repaired an excusable defect in their plumbing may apply for an adjustment of up to three consecutive bills.
This document is maintained by Utility Customer Service.

Leak Adjustment (English): Customers who have suffered and repaired an excusable defect in their plumbing may apply for an adjustment of up to three consecutive bills.

This document is maintained by Utility Customer Service.

Customers requesting exemption from certain fees may submit a completed form with the requested documentation.
This document is maintained by Utility Customer Service.

Deposit Waiver (Reference): If you are requesting a waiver of a residential deposit based on your payment history with another utility, fill out this form and send it to the other utility. Send to Utility Customer Service after it is completed by your prior utility.
This document is maintained by Utility Customer Service.

Deposit Waiver (Credit Check): If you are requesting a waiver of a residential deposit based on your consumer credit report, we need written permission to review your record. Complete and return this form.
This document is maintained by Utility Customer Service.

Confidentiality Request Form - English.

Customers who want to pay their bills automatically through bank drafting each month must complete this form and provide the information requested.
This document is maintained by Utility Customer Service.