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Request for Utility Services

  1. 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.

  2. Is this a New Service request?*
  3. Is the New Service inside the City Limits?
  4. Are you requesting service for:
  5. Personal Information

  6. Employer Information

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

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

  9. Will the Mailing Address be the same as your Service Address?
  10. Form Uploads for New Service or Transfer of Service

  11. 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.

  12. 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)     

  13. Is there an additional person on the lease or ownership papers?
  14. 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.

  15. 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)     

  16. Would you like to upload additional forms?
  17. Would you like to upload an additional form?
  18. Leave This Blank: