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2. Welcome to the City of West University Place! To start your utility services, please complete the online form below and submit during business hours, and no later than 4 p.m. the day before you want services to start.

4. ** ALL ACCOUNTS WILL BE BILLED A NON-REFUNDABLE $50 CONNECTION FEE ON THEIR FIRST BILL **
6. PLEASE NOTE:
   Water service connections can only be completed during the week, Monday - Friday. The City is unable to start water service on the weekends or on holidays. Water services are normally turned on during the morning between 6 a.m. - 9 a.m.
7. Date to Start Services:*
   Date to Start Services:
9. Service Address:*
   You do not need to enter the city, state, or zip code
11. Contact Information:
13. First & Last Name of Primary Resident:*
    How you want the name to appear on the statement
15. Best Phone # for Primary Resident:*
16. Is this a cell or home phone #?*

    1. Cell
    2. Home
17. Email Address for Primary Resident:*
19. First & Last Name of Secondary Resident:
21. Best Phone # for Secondary Resident:
22. Is this a cell or home phone #?

    1. Cell
    2. Home
23. Email Address for Secondary Resident:
25. Are you a previous or current West U resident?*

    1. Yes
    2. No

    Meaning, have you ever paid a utility bill in West U before?
26. If yes, what was the former or current address in West U?
    You do not need to enter the city, state, or zip code.
28. Mailing Address if Different than Service Address:
    Only need to fill this out if the mailing address will be different than the service address. Please include the city, state, and zip code.
30. Will You Be:*

    1. Owning
    2. Renting

    *RENTERS: A $200 deposit is due BEFORE services are scheduled to start. The deposit will be applied to your FINAL bill when you terminate services.
31. Paperless Statements?*

    1. Yes
    2. No

    West U wants to be GREEN! Please consider receiving your utility statement by email.
33. Required Identification:*

    Please email a copy of your driver's license or passport to  billinghelp@westutx.gov or fax it to 713.662.5804. Keep in mind if you are 65 or older you will receive a discount on your solid waste charges.

    1. I acknowledge that I am required to and will email or fax a copy of my drivers license or passport before my utilities can be connected.
35. Required Documents:*

    We require the first page of either your contract, for an owner, or a lease agreement, for a renter.

    1. I acknowledge that I am required to and will upload, email or fax a copy of my contract or lease agreement.
37. Please upload a copy of the 1st page of your Contract or Lease Agreement:
39. Once your request has been received and processed by the utility billing staff, they will send you a Welcome Email regarding information about the city!
41. Email:
    billinghelp@westutx.gov
42. Fax:
    713.662.5804
43. Utility Billing Phone #:
    713.662.5824
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field