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2. Filling out an application online is the fastest way to request new service and to transfer utility services. Scroll down to fill it out today.

   However, if you prefer, you can still download an Application for Water Service (PDF) and take it to the City of Palestine Customer Service located at 504 N Queen St.

   Required for establishment of water service:

   •    Application for water service
   •    Lease Agreement / Proof of ownership
   •    $120.00 Deposit (Residential) / $180.00 Deposit (Commercial)
   •    2 forms of ID, one with a picture, of each person on the agreement or proof of ownership

   Before submitting an application, please review the complete   Account requirements (PDF) for establishing water service.

4. Is this a New Service request?*

   1. Yes, I would like to establish new service.
   2. No, I would like to transfer service.
5. Is the New Service inside the City Limits?

   1. Yes
   2. No
6. Are you requesting service for:

   1. Residence
   2. Business
10. Business Name

12. Personal Information

14. Last Name
15. First Name
17. Home Telephone Number
18. Cell Phone Number
20. Email Address
21. Date of Birth
    Date of Birth
22. Last 4 digits of your Social Security #

26. Employer Information

28. Employer Name
29. Address
31. City
32. State
33. Zip Code
37. Address for New Service Location
38. Zip Code
39. When would you like the new service to begin?
    When would you like the new service to begin?
43. Current Address
44. Current Zip Code
45. Disconnection Date
    Disconnection Date

    When would you like service at the current address to end?

47. New Address
48. New Zip Code
49. New Service Date
    New Service Date

    When would you like Service to begin at the New Address?

53. Will the Mailing Address be the same as your Service Address?

    1. Yes
    2. No
54. Mailing Address
56. City
57. State
58. Zip Code

62. Form Uploads for New Service or Transfer of Service

64. Driver's License or Identification Card

    Please provide a driver's license or  identification card for each adult on the lease or ownership. (Ex. Passport, Country Id, etc) Must have a picture.

65. Second Form of Identification

    Examples of second forms of identification, include, but are not limited to a business card, license to carry card, debit card with numbers covered (only need to see the name)     

66. Is there an additional person on the lease or ownership papers?

    1. Yes
    2. No
68. Additional Driver's License or ID

    Please upload a driver's license or identification for additional person listed on lease or ownership. (Ex. Passport, Country Id, etc) Must contain a picture.

69. Second form of ID for Additional Person

    Examples of second forms of identification, include, but are not limited to a business card, license to carry card, debit card with numbers covered (only need to see the name)     

70. Would you like to upload additional forms?

    1. Yes
    2. No
72. Additional form Upload
73. Would you like to upload an additional form?

    1. Yes
    2. No
74. Additional Form Upload
Leave This Blank:


76. Submit

* indicates a required field