CITY OF MIDLAND WATER APPLICATION

New utility services within the City of Midland require an application, with valid identification, be completed and a deposit paid for connection of the utility service. This deposit is refundable after the account is closed and there is no outstanding balance. The name on the application needs to match the vaild identification required. You must use your name, not a spouse, relative, or friends name on this application.

A turn-on or transfer fee of $10.00 will be included in your first water bill if this is a transfer of service request within the City.

The deposit and application fee shall be included in the first water bill after the account is setup. You have 30 days from the date service is activated to visit Customer Service with valid identification and sign the application card to continue service.

You may call City of Midland Customer Service at (432) 685-7320 to determine the amount of the deposit to be included in your first bill.

You may mail deposit to:

City of Midland

Customer Service

P.O. Box 1152

Midland, Texas 79702

 

Customer Service office hours are 8:00 A.M. to 5:00 P.M. Monday through Friday.

 

Should you desire to reach Customer Service by fax, the fax number is (432) 686-1601.

I hereby make application for water service to the City of Midland. I understand I must appear in person within 30 days of service activation to continue service.

First Name
(Must be your name, not a spouse, relative, or friend)
 *
Last Name
(Must be your name, not a spouse, relative, or friend)		 *
Service Address *
Prior service in Midland *
Prior Service Address
Employer's Name *
Employer's Address *
Employer's Phone *
Spouse's Employer
Spouse's Employer Address
Spouse's Employer Phone
Address where bills are to be sent: *
Home Phone *
Date of Application *
Date to be turned on *
Driver's License # *
Email Address *
Do you want your "Personal Information" kept confidential? *