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Customer Forms

CUSTOMER UTILITY FORMS

Click the link below to download and print out the form. After completion, take the completed form to City Hall (100 N 13th St, Alpine, TX 79830) so that your request may be processed. Alternatively, please email the completed form to billing.clerk@ci.alpine.tx.us.

New Service
Customer Application for New Service (Gas & Water)

Tap Application

Tap Assessment Application

Average Billing / Budget Billing
Customer Contract for Average Billing (Available Spring 2022) 

ACH / Bank Transfer
ACH Debit Authorization
Discontinue ACH Draft

Disconnect Services
Discontinuation and Vacation of Public Services

Address Change / Vacation Status
Request for Change of Address
Request to Reconnect Service from Vacation