2. 
3. RESIDENTIAL UTILITY SERVICE APPLICATION
   Complete the following online application. Select Print and Submit. The application will be submitted to the Utility Billing Department for Processing.
4. SERVICE CONFIRMATION TOOL
   TARRANT APPRAISAL DISTRICT PROPERTY SEARCH

   CONFIRM IF YOUR SERVICE IS PROVIDED BY HASLET BY FOLLOWING THE LINK AND ENTERING YOUR ADDRESS
6. CONFIRM CORRECT SERVICE PROVIDER: THE FOLLOWING ARE NOT SERVED BY CITY OF HASLET UTILITIES: SENDERA RANCH, DORADO RANCH, EMERALD PARK, SPRING RANCH, HASLET HEIGHTS, AND OTHERS LOCATED OUTSIDE OF THE CITY LIMIT. IMPORTANT--READ BEFORE SUBMITTING FORM!! Your address may be "Haslet, TX 76052" but that doesn't mean you have Haslet water and sewer service. You must confirm if you are in the Haslet city limit by going to WWW.TAD.ORG (link provided above) then type your street number and name in the "Property Search" box and click search. Then click the button "View Property" and scroll down to read "Jurisdictions". If you do not see "034 CITY OF HASLET", then Haslet does not provide water service to your address. DO NOT FILL OUT THIS APPLICATION IF YOU DO NOT SEE "034 CITY OF HASLET".
8. TODAY'S DATE*
   TODAY'S DATE
9. SERVICE ADDRESS*
   Haslet does NOT provide water and trash services to areas outside Haslet city limits. Please verify that your address is in Haslet city limits by going to www.tad.org and putting your address in the property search field. Sendera Ranch, Dorado Ranch, Emerald Park, Spring Ranch, Haslet Heights, and surrounding subdivisions are NOT in Haslet city limits.
10. Service Start Date*
    Service Start Date
    Service start date must be Monday-Friday. Service cannot start on a weekend or holiday. If it is after 1:00 pm, then your service will start on the next business day.
12. Applicant or Company Name*
14. Applicant Driver's License No. & State*
15. Applicant Social Security Number*
17. Mailing Address if Different from Service Address
19. City
20. State
21. Zip Code
23. Home Phone Number*
24. Cell Phone Number*
25. Work Phone Number*
27. Employer Name*
29. Employer Address if Different from Service Address*
31. Email Address for Primary Contact*
33. Co-Applicant Name*
34. How would you like to receive your bills?*

    If nothing is checked you will receive your bill by regular mail.

    1. By Email
    2. By Regular Mail
    3. Both
36. Please check the one that applies*

    1. Owner
    2. Renter

    1. Builder/Contractor

    1. Realtor

    1. Other
38. Emergency Contact*
39. Phone Number*
41. Have you previously had utility service in the City of Haslet?*

    1. Yes
    2. No
42. In the event of a public inquiry, do you authorize the City to withhold your name and address?*

    1. Yes
    2. No
44. To request a trash cart(s) and/or recycling cart(s), please indicate below:
    -- Select One --Trash Cart-1 & Recycling Cart-1Trash Cart-1Recycling Cart-1Trash Cart-2 and Recycling Cart-1Trash Cart-2Recycling Cart-2Trash Cart-2 and Recycling Cart-2

    There is an additional charge per month for more than one trash cart at the residence.
46. Required Picture Identification
    Upload a copy of one of the following: Driver's License, State Issued I.D. Card, Military I.D. Card, Passport, Etc.
47. Required Deposit is $100
    Deposit must be paid at the time of application and remains on the account for the life the account. At the time of the account's final bill, any remaining deposit is refunded. Payment accepted is cash, check, money order, and credit cards (additional 2% fee applied when paying by credit card). Credit cards accepted are Visa, MasterCard and Discover.
49. TERMS OF ACCEPTANCE AND SIGNATURE
52. I, the applicant for Residential Utility Service, warrant the truthfulness of the information provided in this application. *
    Please type your first and last name.
54. I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms of acceptance.*

    1. Accept
56. New accounts will not be set up until a deposit has been made. At this time deposits cannot be made online; only over the phone, by mail, or in person at City Hall.
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

* indicates a required field