New Service Form By madmin New Service Form New Resident Account Information Upon connection of utility service, you hereby agree to hold the TOS and its authorized representatives harmless for any and all liability of property damage caused to your residence or business, as a result of the activation of utility connection. The Customer shall pay an administration fee as described by ordinance. The Customer shall install and maintain at his own expense a cut-off valve, a pressure regulator when necessary, and a service line which shall begin at the meter and extend to the dwelling and other portion of premises. Location to be determined by TOS Water Operator. For Sewer connections the customer shall install and maintain at his own expense a lateral line and backflow preventer when necessary from the sewer main and extend to the dwelling and other portion of premises according to the specifications as directed by the TOS Sewer Operator. The Customer hereby acknowledges that there may be times when TOS is unable to furnish services and said customer hereby acknowledges that the TOS shall have no liability for its failure to furnish such service. Customer shall pay for such services at such rates, time, and place as shall be determined by TOS. TOS is not responsible for mail delivery, check-in transit, and/or checks lost in transit. Failure to receive a bill is no excuse for nonpayment. Amount due must be paid by the due date shown on the face of the bill or your account will be assessed a late penalty. You will have 30 days after the due date to pay the full amount. Original amount due plus late penalty before disconnection. If you do not pay the full amount due before that 30th day, your service will be subject to disconnection. Should you wish to appeal notice prior to disconnect, immediately contact this office and you will be given a hearing. Failure to contact this office for an appeal prior to disconnect will be considered a waiver for the hearing. If the request for service includes newly constructed installation, all rules for installation must be adhered to by Federal, State, and local governing laws. Failure to do so may result in service interruption until time property brought into compliance. Today's Date * Type of Service * Residential Business Do you have a pool? * Yes No Do you irrigate * Yes No Your Name * Name on the Account * Phone # * Email * Please choose **** Copy of written proof is required**** * PURCHASING PROPERTY LEASING PROPERTY Service Address * Service Address Service Address Service Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Billing Address Billing Address Billing Address Billing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Date Service to be Started * Property Owners Name * Property Owners Phone * Signature * signature keyboard Clear Attach a Copy of Photo ID Drop a file here or click to upload Choose File Maximum file size: 200MB Submit
New Service Form By madmin New Service Form New Resident Account Information Upon connection of utility service, you hereby agree to hold the TOS and its authorized representatives harmless for any and all liability of property damage caused to your residence or business, as a result of the activation of utility connection. The Customer shall pay an administration fee as described by ordinance. The Customer shall install and maintain at his own expense a cut-off valve, a pressure regulator when necessary, and a service line which shall begin at the meter and extend to the dwelling and other portion of premises. Location to be determined by TOS Water Operator. For Sewer connections the customer shall install and maintain at his own expense a lateral line and backflow preventer when necessary from the sewer main and extend to the dwelling and other portion of premises according to the specifications as directed by the TOS Sewer Operator. The Customer hereby acknowledges that there may be times when TOS is unable to furnish services and said customer hereby acknowledges that the TOS shall have no liability for its failure to furnish such service. Customer shall pay for such services at such rates, time, and place as shall be determined by TOS. TOS is not responsible for mail delivery, check-in transit, and/or checks lost in transit. Failure to receive a bill is no excuse for nonpayment. Amount due must be paid by the due date shown on the face of the bill or your account will be assessed a late penalty. You will have 30 days after the due date to pay the full amount. Original amount due plus late penalty before disconnection. If you do not pay the full amount due before that 30th day, your service will be subject to disconnection. Should you wish to appeal notice prior to disconnect, immediately contact this office and you will be given a hearing. Failure to contact this office for an appeal prior to disconnect will be considered a waiver for the hearing. If the request for service includes newly constructed installation, all rules for installation must be adhered to by Federal, State, and local governing laws. Failure to do so may result in service interruption until time property brought into compliance. Today's Date * Type of Service * Residential Business Do you have a pool? * Yes No Do you irrigate * Yes No Your Name * Name on the Account * Phone # * Email * Please choose **** Copy of written proof is required**** * PURCHASING PROPERTY LEASING PROPERTY Service Address * Service Address Service Address Service Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Billing Address Billing Address Billing Address Billing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Date Service to be Started * Property Owners Name * Property Owners Phone * Signature * signature keyboard Clear Attach a Copy of Photo ID Drop a file here or click to upload Choose File Maximum file size: 200MB Submit
