Request New Service
This form is for residential accounts only. Please contact us for non-residential accounts.
 Required entry
General Information
Your Name:
Start Date:
   Meter will be read within 3 business days.
Primary Account Holder
Name:
   
Prefix :
SSN or DL #:
  (or)        At least one is required
By checking this box, I agree to a soft credit check on my SSN.
Primary Phone:
( ) -
 
Business Phone:
( ) -
 
Email Address:
Employer:
Secondary Account Holder - Legal Spouse
To add a secondary account holder that is NOT a legal spouse, skip this section and contact TMWA customer service at (775) 834-8080.
Name:
   
Prefix :
SSN or DL #:
  (or)       
Primary Phone:
( ) -
 
Business Phone:
( ) -
 
Employer:
Requested Service Address
Establish Service at this address
Service Address:
Apt/Lot/Unit #:
Unit Description:
City:
State:
      Zip/Postal Code:
        
Mailing Address
 Required entry when completing this section.
Mailing Address:
Apt/Lot/Unit #:
Unit Description:
City:
Country:
State:
      Zip/Postal Code:
        
Additional Information
Are you a current TMWA customer?
Special instructions or additional information that you feel we need to be aware of:
By submitting this information, I agree to place the requested service in my name.
 
 
 
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