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District Forms |
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!!!!!!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)
Developer Forms:
Additional District forms:
To have banking account drafted for your payment (Must be turned in by the 1st of the month)
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.
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.
To Update your Confidentiality Form, print this form complete it & mail it to our office: |
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Be Water Smart for Today and Tomorrow |
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Gastonia—Scurry Special Utility District |


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Phone: 972-452-3388 Fax: 972-452-3328 E-mail: scurrywater@hotmail.com |

