Water Service Application

Please select which service you are applying for:

New Water Service

Transferring Water Service

Click Here to view required deposit schedule, fees, and rates.

Springdale Water Transfer Policy

A deposit can be transferred from one service address to another, providing that the customer’s current account is paid in full and service will be disconnected at the old address no more than three (3) days after connecting service at the new address. A $20.00 transfer fee will be charged.

Please include address and/or account number you are transferring water service from:

Have you had service with Springdale Water before?

Yes

If yes, please enter account number and/or service address:

What type of property is it?

Commercial

Residential

Property Ownership:

Rent

Own

Landlord Name:

Landlord Phone Number:

Requested Start Date:

Service Address

Address

Apt, Suite, etc.

City

State

Zip Code

Upload copy of rental lease:

Disconnection Date (old account):

Mailing address:

Same as service address

Mailing address if different than service address

Mailing Address

Address

Apt, Suite, etc.

City

State

Zip Code

Company/Organization Name:

Company Contact Name:

Are you Tax Exempt? (non-profit)

Yes

Company Number:

Secondary Number:

Upload tax exemption paperwork:

Tax ID (EIN):

Do you have a Tax ID?

Yes

Upload tax exemption paperwork:

Tax ID (EIN):

Drivers License Number:

State:

Account Holder Name:

First

Last

Phone Number:

Drivers License Number:

State:

Upload Color Copy of DL:

Additional Authorized Resident or Spouse:

First

Last

Additional Contact #:

Additional Contact DL #:

Additional Contact State:

Additional Contact Drivers License File Upload:

Are you 65 years or older?

Yes

Email:

For residents living inside the City of Springdale city limits, Cards Recycling offers additional trash options. One trash cart and one recycling carts are already added to your monthly utility bill for City of Springdale Residents.

Additional Yard Waste, Trash, and Recycling Carts may be obtained by contacting CARDS Recycling at: 479-435-9061 or emailing cityofspringdale@cardsrecycling.com. You can also visit their website for more information.

VISIT WEBSITE

E-Signature:

Date:

Deposit Agreement

I have read and agree to the Deposit Agreement

Some description about this section