Form Center • Murfreesboro, TN • CivicEngage

New Service Request for Residents

1. Is Your New Residence Serviced By Murfreesboro Water? This section is complete This section is incomplete
2. New Service Policy Agreement This section is complete This section is incomplete
3. New Service Request for Residential This section is complete This section is incomplete

Is Your New Residence Serviced By Murfreesboro Water?*
1. Yes
1. No
If You Are Unsure, Please Use The Service Area Map By Clicking The Link Below.
Murfreesboro Water Service Area Map
NOTE: If your new residence DOES NOT appear in the Murfreesboro Water Resources service area, please contact the county water service provider, Consolidated Utility District of Rutherford County at (615) 893-7225.
Continue

New Service Request for Residential Customers
MWRD requests the below information to be completed before new service can be started. All service requests are normally completed Monday through Friday (excluding holidays).
All requests made after noon (12:00) will be processed the following business day. If your service request needs to be completed between noon and 3:00 pm please contact customer service at 615-848-3209.
In addition to submitting this form please email a valid photo ID (i.e. driver’s license, state issued ID, military ID, passport) to mwrdcontact@murfreesborotn.gov, or fax to 615-907-2254. Documents will need to be received before request can be completed.
MWRD does not require a deposit to start service. However, there is a $40 non-refundable service fee for all new or transferred service requests. The $40 fee will be added to the first bill. Liability for service for this address will continue until notification is received to terminate the services. You must contact Customer Service @ 615-848-3209 to terminate service and provide a disconnect date and forwarding address to send the final bill.
A copy of a valid photo ID or driver's license MUST be emailed to mwrdcontact@murfreesborotn.gov after completion of this form!
Agreement*
1. I agree and wish to continue
1. No I do not agree
Continue |Go Back

First Name*
*Legal Name As Listed on Driver's License
Last Name*
Last 4 Digits of Your Social Security Number*
Service Address*
Apartment/Suite/Unit
Mailing Address (If different from Service Address)
Apartment/Suite/Unit
City*
State*
Zip*
Email Address*
Cell Phone Number*
Other Phone (If Applicable)
Desired Date for Service to Begin*
Desired Date for Service to Begin
Number of Occupants*
Spouse/Roommates Name(s)
Separate names with a comma
Want to enroll into our H2O- Help2Others Program?*
1. Yes
2. No
If Yes, how much would you like added to your monthly bills?
Remarks/Notes
Want to sign up for an Automatic Bank Draft?
If YES, you must also email a copy of a voided, legible check to mwrdcontact@murfreesborotn.gov indicating the bank account to be debited.
1. Yes
1. No
As a customer of MWRD your account will automatically be registered for our AMI Customer Portal. With AMI Customer Portal, you will be notified if you have continuous consumption of five (5) or more gallons per hour over a 24-hour period. Also, you will be notified if a single day’s usage exceeds 150% of your highest daily usage the previous week. You may also elect to set monthly usage goals.
You will receive an email notice with instructions on logging in and other features once your account is set up.

Leave This Blank: