bartonvillewater.com | Bartonville Water Supply Corporation

View the Conservation and Emergency Plan!

All forms must be returned to the office with the original signature intact.

The forms below are arranged in the most common order, underneath the area most commonly involved in requests. Please feel free to view any and/or all of the forms to see if they apply to your situation.

These forms are in Adobe PDF files. If your computer can not read them, try getting the free reader from:

Our rates are posted in the General Information Packet. We will be glad to fax you these forms if you would like. Just give us a call at 817-430-3541 and let us know the fax number.

New or Discontinuing Members	Builders/Contractors	Billing Forms	Landlord/Renter Information
Forms regarding new service for owners must be filled out completely and the copy with the original signature must be mailed to our office.	Builders should call or e-mail the General Manager with any questions related to construction, platting, and the approval process. Making contact early in the planning process is strongly recommended.	Forms regarding method of payment and billing must be filled out completely and the copy with the original signature must be mailed to our office.	Forms regarding new service for renters must be filled out completely and the copy with the original signature must be mailed to our office. Landlords must fill out the Billing Authorization form and return the original signed copy to the office.
General Information	Subdivision Fees	Credit Card Payment of Membership Fees	General Information
Owner's Application for Service	Meter Installation Fees	Automatic Credit Card Policy and Form	Landlord's Billing Authorization Form
Emergency Conservation Plan	Customer Service Inspection Certification	Automatic Bank Draft Policy and Form	Renter's Application for Service


Credit Card Payment of Membership Fees	Credit Card Payment of Membership Fees	Third Party Billing Authorization Form	Automatic Credit Card Policy and Form
Customer Update Information	Meter Test Policy	Meter Test Policy	Automatic Bank Draft Policy and Form
Membership Discontinuance Form	Meter Test Request Form	Meter Test Request Form
		Deferred Payment Agreement (Call Office for Assistance)
		Catastrophic Water Loss Policy (Call Office for Assistance)

Forms