Application for Residential Utility Service

Harris County Water Control & Improvement District No. 110

Applications processing time is 1-2 business days. If you need water service today, please visit our Northwest Houston or Fort Bend locations, or call (832) 467-1599.

    Please provide lease agreement, settlement statement, or management agreement. (.jpg or .pdf format) (required)

    If a previous customer is residing at the service address and there is an outstanding balance on the address, service will not be initiated until the balance is paid in full.

    Please provide photo of ID/license. (.jpg or .pdf format) (required)

    The District requires a security deposit and application fee to setup service. Payment options will be emailed to you.

    $150.00 Owner / $300.00 Tenant Security Deposit / $25.00 Application Fee

    Service Agreement

    I. PURPOSE. Harris County Water Control & Improvement District No. 110 (the "District") is responsible for protecting the District’s Water Supply System from contamination or pollution which could result from improper plumbing practices. The purpose of this service agreement is to notify each customer of the plumbing restrictions which are in place to provide this protection. The utility enforces these restrictions to ensure the public health and welfare. Each customer must sign this agreement before the Harris County Water Control & Improvement District No. 110 will begin service. In addition, when service to an existing connection has been suspended or terminated, the District will not re-establish service unless it has a signed copy of this agreement.

    II. PLUMBING RESTRICTIONS. The following unacceptable practices are prohibited by State regulations.
    A. No direct connection between the District’s Water Supply System and a potential source of contamination is permitted. Potential sources of contamination shall be isolated from the District’s Water Supply System by an air-gap or an appropriate backflow prevention device.
    B. No cross-connection between the District’s Water Supply System and a private water system is permitted. These potential threats to the District’s Water Supply System shall be eliminated at the service connection by the installation of an air-gap or a reduced pressure-zone backflow prevention device.
    C. No connection which allows water to be returned to the District’s Water Supply System is permitted.
    D. No pipe or pipe fitting which contains more than .25% lead may be used for the installation or repair of plumbing at any connection which provides water for human use.
    E. No solder or flux which contains more than 0.2 percent lead can be used for the installation or repair of plumbing at any connection which provides water for human use.

    III. SERVICE AGREEMENT. The following are the terms of the service agreement between Harris County Water Control & Improvement District No. 110 (the District) and________________________ the undersigned (the “Customer”).
    A. The District will maintain a copy of this agreement as long as the Customer and/or the premises is connected to the District.
    B. Customer shall allow his/her property to be inspected for possible cross-connections and other unacceptable plumbing practices. These inspections shall be conducted by the District or its designated agent prior to initiating new water service; when there is reason to believe that cross-connections or other unacceptable plumbing practices exist; or after any major changes to the private plumbing facilities. The inspections shall be conducted during the District's normal business hours.
    C. The District shall notify the Customer in writing of any cross-connection or other unacceptable plumbing practice which has been identified during the initial inspection or the periodic re-inspection.
    D. Customer shall immediately correct any unacceptable plumbing practice on his/her premises.
    E. Customer shall, at his/her expense, properly install, test, and maintain any backflow prevention device required by the District. Copies of all testing and maintenance records shall be provided to the District.

    IV. ENFORCEMENT. If the Customer fails to comply with the terms of the Service Agreement, the District shall, at its option, either terminate service or properly install, test, and maintain an appropriate backflow prevention device at the service connection. Any expenses associated with the enforcement of this agreement shall be billed to the Customer.

    NOTE: THE PURPOSE OF THE CUSTOMER SERVICE AGREEMENT IS TO NOTIFY CUSTOMERS OF THE PLUMBING RESTRICTIONS OF THE DISTRICT ADOPTED TO PROTECT THE DISTRICT’S WATER SUPPLY SYSTEM. INSPECTIONS CONDUCTED BY THE DISTRICT’S OPERATOR IN ACCORDANCE WITH THIS SERVICE AGREEMENT ARE FOR THE SOLE PURPOSE OF DISCOVERING AND ELIMINATING UNACCEPTABLE PLUMBING PRACTICES. THE DISTRICT OR THE DISTRICT’S OPERATOR MAKES NO REPRESENTATION AS TO THE ADEQUACY, QUALITY, OR FITNESS OF THE CUSTOMER’S PRIVATE PLUMBING FACILITIES.

    I have read and accept the Service Agreement: Yes

    Statement of Responsibility

    It is the customer's responsibility to ensure that the home is prepared for water service. Any leak after the meter, or inside the home, or damages arising from a leak or fixtures left open inside the home, will be the customer's responsibility.

    I have read and accept the Statement of Responsibility: Yes

    Applicant’s failure to adhere to all requirements contained in the District’s Rate Order may result in fines, penalties, and a delay or denial of service. A copy of the District’s Rate Order is available upon request.

    E-Signature Authorization

    I have read and accept the E-Signature Authorization: Yes