City of Frisco Utility Billing Residential Application

NEW RESIDENTIAL SERVICE

Account holder's driver's license is required for all new service requests
Time

Hour Minutes

AM/PM Option

FOR OFFICE USE ONLY
Account #
Verification*

DepositSame-dayE-BillingAdmin FeeSenior Citizen
Senior Citizen Discount only available to residents 65 or older
OR
Senior Citizen Discount NOT ORIGINALLY selected
Completed By*

New Service
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First Name*
Middle Initial
Last Name*
Phone 1*
Phone 1 Type*
Phone 2
Phone 2 Type
Phone 3
Phone 3 Type
E-mail*
Valid Driver's License State*
Valid Driver's License Number*
Valid Driver's License documentation - upload image *

Cancelof
Social Security# (last 4 digits)*
Date of Birth*

MonthDayYear
Sign up Selections

Please sign me up for E-Billing. I understand that I will NOT receive a paper statement.Please sign me up for the FREE weekly email with lawn watering advice for Frisco residents.Yes, please sign me up for the Senior Citizen Discount on my trash services only. I am 65 years or older.
Senior Citizen Discount only available to residents 65 or older
Service Address Street*
Service - City*
Service - State*
Service - Zip Code*
Copy Address

Service Address same as Mailing Address
Status*

OwnLease
Please upload a copy of your lease or closing documents for the service residence. *

Cancelof
Mailing Address Street*
Mailing - City*
Mailing - State*
Mailing - Zip Code*
Date to Connect (Normal Bus. Day)*

MonthDayYear
Tax ID # (For Businesses Only)
** Same day connection fee ***

Click the box to acknowledge that SAME DAY connections will be billed an additional non-refundable $25.00 for each account.
***No same day connections can be processed after 4:30pm.***

***Please choose the following available business day.***
- The City of Frisco will bill you a $150.00 deposit on each account which will be refunded after 24 months of good service history or upon disconnection of service.
- The City of Frisco will bill you a $25.00 non-refundable Administrative fee on each account.
- A 24-hour notice is required for all new service accounts. All service requests must be in writing from the account holder.
CONFIDENTIALITY REQUEST*

I hereby request confidentiality of my personal information by the City of Frisco’sI hereby withdraw my request for confidentiality.
SIGNATURE OF CUSTOMER*

Clear
DATE*

MonthDayYear
- The 95 gallon Trash cart and 95 gallon Recycle cart will be provided for you and delivered within 5 business days from your start date. Existing homes already have carts.
- It is the customer's responsibility to verify the number of carts you are being billed for. The City charges an additional fee for each extra trash cart.
**All Delinquent Accounts will be sent to a Collection Agency**

City of Frisco 6101 Frisco Square Blvd; Frisco, TX 75034
Phone: (972) 292-5575 Fax: (972) 292- 5585
E-mail: utilitybilling@friscotexas.gov
Today

MonthDayYear
Date
Age
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NEW RESIDENTIAL SERVICE