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Forms

Utility Customer Service has made several forms available online for customer use. Most of these can be printed out and mailed back to us. Customer service surveys can be completed online.

Customer Service Surveys: Customers who have received service over the phone or in the field can respond online to let us know how well we served them.

DocumentsDate added

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file icon Water Fund Donation Formhot! 12/19/2007 Hits: 1073
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.
file icon Water Fund Assistance Applicationhot! 12/19/2007 Hits: 1539
Use this form to request assistance from the City of Houston in paying your water bill. Proof of ID and income are also required.
This document is maintained by Utility Customer Service.
file icon Unusually Large Bill Application - Spanishhot! 12/19/2007 Hits: 890
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.
file icon Unusually Large Bill Application - Englishhot! 12/19/2007 Hits: 2312
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.
file icon Tap Inspection Contractor Applicationhot! 12/19/2007 Hits: 858
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.
file icon Sewage Collection Applicationhot! 12/19/2007 Hits: 811
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.
file icon Meter Test Requesthot! 05/01/2009 Hits: 531
This form must be completed and signed in order for UCS to test the accuracy of your meter. Charges may apply.
This document is maintained by
Utility Customer Service.
file icon Leak Adjustment Request Form - Spanishhot! 12/18/2007 Hits: 1107
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.
file icon Leak Adjustment Request Form - Englishhot! 12/18/2007 Hits: 5349
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.
file icon Exemption Application of Late Fees and Recheck Readshot! 12/18/2007 Hits: 1066
Customers requesting exemption from certain fees may submit a completed form with the requested documentation.
This document is maintained by
Utility Customer Service.
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