Skip to content
Call Us: (903) 838-0751
Email Us: ljacobs@nashtx.org
Weekly Schedule: Mon- Fri 7:30 AM - 5:00 PM / Sat-Sun CLOSED
Facebook-f
Map-marker-alt
Facebook-f
Map-marker-alt
Home
Your Government
General Election
Leadership And City Administration
Public Notice
Council Meeting Agenda And Minutes
Budget
Departments
Municipal Court
Public Works
Water Utilities
Zoning
City Permitting Information
Police Department
Fire Department
Payments
Citations, Search And Payment
Utility Payment
What’s Happening
Our Community
Contact
Menu
Home
Your Government
General Election
Leadership And City Administration
Public Notice
Council Meeting Agenda And Minutes
Budget
Departments
Municipal Court
Public Works
Water Utilities
Zoning
City Permitting Information
Police Department
Fire Department
Payments
Citations, Search And Payment
Utility Payment
What’s Happening
Our Community
Contact
Economic Development
Home
Your Government
General Election
Leadership And City Administration
Public Notice
Council Meeting Agenda And Minutes
Budget
Departments
Municipal Court
Public Works
Water Utilities
Zoning
City Permitting Information
Police Department
Fire Department
Payments
Citations, Search And Payment
Utility Payment
What’s Happening
Our Community
Contact
Menu
Home
Your Government
General Election
Leadership And City Administration
Public Notice
Council Meeting Agenda And Minutes
Budget
Departments
Municipal Court
Public Works
Water Utilities
Zoning
City Permitting Information
Police Department
Fire Department
Payments
Citations, Search And Payment
Utility Payment
What’s Happening
Our Community
Contact
Please enable JavaScript in your browser to complete this form.
Move out date
*
Account #
*
Route #
*
Sequence #
*
Cert. of Dep #
*
Number in household
*
Name
*
Spouse's name
*
Driver's licence number and state
*
Social Security number
*
Home phone number
*
Name of employer
*
Cell phone number
*
Supervisor
*
Email
*
Business phone number
*
Address moving into
*
Mailing Address
*
Have you or your spouse ever had water service in Nash before?
*
Yes
No
If yes, whose name was the service listed under and when did you have prior service?
Whose name is the electric and/or gas service listed under?
*
List electric and gas with the respective name.
Landlord's Name
*
Landlord's Phone Number
*
Landlord's Address
*
Personal references. Please List Two: (Name, Address and Phone Number)
*
Signature
*
Date
*
City of Nash, TX
Customer account #
*
Account name
*
Service address
*
City, Zip
*
Phone number
Billing Address
*
City, Zip
REL
Containers
Service
Signature
*
Date
*
Submit
Monthly Service Charges for Scheduled Services Will Be Deducted At Current Rate.