Owner Residential Service Application

Please fill out the form below to make an application to the Public Works Authority for OWNER RESIDENTIAL service. To fill out a Rental Residential Application, click here.

New Service fee of $105.00 includes Account Deposit of $ 80.00 refundable upon closing of account and a non-refundable Service Fee of $25.00. Must attach a valid photo ID.

A representative from the Utility Billing Office will contact you via phone to collect payment.

**To Successfully complete this form, please be prepared to upload JPEG or PDF copies of two valid forms of ID and proof of ownership.

Responsible Party:

Service Address:

Mailing Address:

City or Town:

State or Province:

Zip or Postal Code:

Home Phone:

Mobile Phone:

Employer:

Work Phone:

Social Security Number:

Drivers License Number:

Date of Birth:

Email:

Secondary Occupant:

Secondary Occupant Employer:

Secondary Occupant Work Phone:

Secondary Occupant Social Security Number:

Secondary Occupant Cell Phone:

Secondary Occupant Drivers License Number:

Secondary Occupant Date of Birth:

Personal Reference (Not in Household):

Relation of Personal Reference:

Personal Reference Phone Number:

Date you would like service to begin:

Transfer Service?  yes  no
If yes, date previous address to be disconnected.
Have you ever had service with the City of McAlester?  yes  no
If yes, at what service address?

Would you like e-statements? yes no

Would you like to set up automatic payments via bank draft? yes no
If yes, please submit Automatic Bank Draft form found on our website. Credit card drafts can be set up on our website.

Additional Comments:

Valid Form of Identification for each owner (driver's license or a state issued id)

Notice: The City of McAlester Public Works Authority (MPWA) utilizes the services of Ameri-Ck, Inc., a consumer credit reporting agency as defined under the terms of the Fair Credit Reporting Act. As a subscriber, the MPWA is an information source providing data concerning delinquent accounts to the agency.

By clicking this box, applicant certifies that all information contained in this application is accurate and complete, and authorizes employees of the McAlester Public Works Authority (MPWA) to contact any and all references given. Applicant understands that the MPWA reserves the right to refuse service to anyone for any reason and that in the event a utility account is established, this account may be terminated at any time should the account become past due or delinquent. Applicants also understand that with the extension of service by the MPWA, applicant assumes all responsibility for any amounts due to the MPWA for services provided, and any collection fees, penalties, legal fees or interest charges incurred for the collection or recovery of delinquent amounts owed to MPWA. Applicant further understands that the MPWA reports delinquent account information to Ameri-Ck, Inc. This application becomes a contract upon the establishment of service.

Electronic Signature (Type 'Full Name):