P.O. BOX 367 ♦ 119 E. DAVILLA
(512) 859-2755 ♦ (512) 859-2871 (FAX)
residential Water, Wastewater & Garbage Application
RIGHT OF CONFIDENTIALITY OF PERSONAL INFORMATION
Vernon's Texas Codes Annotated, Utilities Code §182.051 et. Seq. Requires government-operated utilities to notify customers of their rights to confidentiality. You are hereby informed that you
have the right to request confidentiality of your personal information contained in our records. "PERSONAL INFORMATION" AS DEFINED BY THE STATUTE: MEANS AN INDIVIDUAL'S ADDRESS, TELEPHONE NUMBER OR
SOCIAL SECURITY NUMBER. Please be aware that you also have the right to rescind (cancel) a request for confidentiality. To exercise your rights, please complete the following form.
Please Read the Following Information Carefully
It is the responsibility of the resident to make sure that all water sources inside or outside of the home are off at the time the
water is turned on. If the water meter shows that a water source is on, it will be turned off to avoid any flooding.
The city is not responsible for any damage caused by flooding due to the negligence of the resident.
Proof of Driver's License & Proof of Purchase/Lease is required for each applicant