District Forms     &      Updates Below!

!!!!!!THE FORMS CANNOT BE COMPLETED ONLINE !!!!

ALL FORMS MUST BE PRINTED AND THE ORIGINALS TURNED IN TO OUR OFFICE.  NO FAXED COPIES WILL BE ACCEPTED.

District Forms:

Click on the desired form and print it.  Once the desired form  is completed return the originals to our office.  

 New Service, Re-Instatements,  must complete a New Service Application & Agreement to obtain utility service.  Questions please call our office

New Service Application & Agreement                                          New Member Area Information

 

Are you selling your home? 

You will need to complete paperwork to release your account to the new owner. 

1. Call the office and request a final read for your account

2. Give the office the forwarding address to send your final bill

3. Complete a deposit refund form

If all steps aren’t completed above the account cannot be moved to the new owner.  Please make sure to do your part. 

 

Renter/Leassor Back to owner forms:

Alternate Billing Form (for renters/leassor)

Back to Owner Form

 

Developer Forms:

Developer Policy

Developer Service Application

Developer Agreement

Developer Checklist

 

Additional District forms:

 

To have banking account drafted for your payment (Must be turned in by the 1st of the month)

ACH Form                                                 

                  

 

To end service at your property, make sure to follow all instructions or the form will not be processed nor will your account be Discontinued.

 Discontinuance Form                      

 

To request a leak adjustment on your account.     This form must be turned in by the 5th of the month with the proper proof that the repair has been made.  If you do not turn in your form and proof by this date the leak adjustment will not be available until the following month on or about the 10th.                                                      

Leak Adjustment Request Form                

 

 

To Update your Confidentiality Form, print this form complete it & mail it to our office:

Confidentiality Form

 

To schedule a home inspection print this form complete it and contact the office to schedule the inspection:

Home Inspection Form

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Be Water Smart for Today and Tomorrow

Gastonia—Scurry Special Utility District

Phone: 972-452-3388

Fax: 972-452-3328

 

District Updates & Changes

 

June 16, 2009: Motion was made to stop performing Reconnects after business hours.  Reconnects must be requested by 4pm to be reconnected that business day.