Northwest Harris County, Texas USA
Bonaire & Cypress Chase Subdivisions

 

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Service Request Form

Click on the form link below to request utility service from
Harris Co. Municipal Utility District No. 69,
Bonaire and Cypress Chase Subdivisions.

Bring up the form from the link below.
Type in the shaded areas with your information.
Click on the Print button.
Sign the printed form.
Mail your completed form and $125 to the address
on the bottom of the printed form.

You may want to fax your form to 281-290-6516
Your must then call
281-290-6507 to make arrangements
to pay the $125 required for service.

This form is in an Acrobat PDF format.
If you do not have an Adobe Acrobat reader, you can download it free on the internet at:
Adobe Acrobat Reader (free)
 

Type in the shaded areas with your information.
Click on the Print button.
Sign the printed form.

Service Request Form PDF

If you have additional questions, call 281-290-6507.
Monday-Friday 8am-5pm