Start Service

Complete and submit this form to begin new service with WHUD. To make sure your property falls within our service area – for water or wastewater – please visit our interactive Service Area Map.

Please note: We provide next day service. Requests are completed Monday – Friday between 8:00 a.m. and 4:00 p.m. (excluding holidays). If you have questions or need assistance, please reach out to our Customer Service Team.

Printable Application

Date of New Service:*(mm/dd/yyyy)

Primary Applicant Information

Account Name:*
Primary Phone:*
Secondary Phone:
Cell Phone:

Driver's License:*
SS/FED #:*

Secondary Applicant Information

Secondary Account Name:

Address Information

New Service Address:

Subdivision Name
Street Address:*
Is the Mailing Address the same as the Service Address?

Mailing Address:

Street Address:
Does Location Include:
Number of People in Home:*
Occupants with Special Needs?
Location Type?*
Do you rent or own?*

Water Service

Water Service:

Customer must mark area where water tap is to be installed on property within ten feet from the road right-of-way.
Irrigation tap will be installed next to existing water tap on property.
Irrigation meters will remain locked until backflow inspection is complete.
See terms and conditions for testing information.
Date property will be staked with tap location flag
If not marked by date entered additional fees may apply.

Backflow Prevention Survey

Are there any existing Backflow Prevention assemblies on the property?*
Last date your backflow device was tested (if applicable).
Are there any private wells, springs, or cisterns on the property?*
Do you have a lawn irrigation/sprinkler system supplied by public water?*
Does the residence have a fire protection sprinkler system?*

Sewer Service

Sewer Service:

Does your location have Sewer Service?

New Sewer Service Single family residential connection. See terms and conditions for specifications and inspection information.

Payment Information

Payment Information:*
Credit Card #
Exp. Date (mm/yy)
Card Billing Zip Code

Routing #
Bank Account #

Date: (mm/dd/yyyy)*