Travis County WCID #10Water Service Application
Travis County WCID #10C/O Crossroads Utility Services2601 Forest Creek DriveRound Rock, Texas firstname.lastname@example.org
The undersigned hereby makes application to Travis County WCID #10 for water services. I understand and agree that I will be responsible for all water services provided to the property described in this application until such time as service to the property is disconnected in accordance with the District's Rules and Regulations regarding utility services. I agree to comply with the District's Rules and Regulations and to pay for all utility services rendered to the property in a timely manner and understand that a violation of the Rules and Regulations may result in a penalty and/or termination of utility services to my/our property. I represent that the information above is true and correct.
House Bill 872 requires a government-operated utility may not disclose personal information in a customer’s account record, or any information relating to the volume of units of usage or amounts billed on the account unless the customer requests that the government-operated utility disclose the information. By agreeing to service with the utility and signing below, you agree to have your information kept confidential with the government operated utility. A customer may request disclosure of their information by delivering to the government-operated a written request.