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Request for Utility Service Installation - Form 25

  1. Town & Country Utilities, Babcock Ranch Water Utilities as operated by Town & Country Utilities and
  2. Check One:*
  3. Note
    Meters will be installed ten (10) business day from the date requested and both installations are subject to all base and usage fees unless a temporary service form is filled out.
  4. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  5. Telephone: 800-826-5721
  6. Form 25 – Rev 10/10/19
  7. Leave This Blank:

  8. This field is not part of the form submission.