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Wastewater Usage Credit Application - Form 11

  1. Town & Country Utilities, Babcock Ranch Water Utilities as operated by Town & Country Utilities and
  2. Please complete form below.
    This form is used to document water used that did not flow into the wastewater system such as filling pools. A credit will be given for wastewater charges corresponding to the volume of water used but not introduced into the wastewater collection system. The base fees will remain unaffected.
  3. 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.
  4. Telephone: 800-826-5721
  5. Form 11 – Rev 5/20/20
  6. Leave This Blank:

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