TMWA - Request New Service

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 and Service Address are the same
Mailing Address:

Apt/Lot/Unit #:
Unit Description:
City:
Country:
State:	Zip/Postal Code:
Additional Information
Are you a current TMWA customer? CurrentPreviousNew 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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