THE WEST KNOX UTILITY DISTRICT OF KNOX COUNTY, TENNESSEE
APPLICATION FOR WATER SERVICE AND/OR WASTEWATER SERVICE

Please complete this application to apply for new service. This service is available for residential customers requesting water and wastewater services within established areas of West Knox Utility District. If you would like to establish service at a location that does not currently have an existing meter present, such as new construction or development, you will need to visit Customer Service office to make your request.

If you have any questions regarding setting up service, please contact Customer Service during normal business hours (865) 690-2521 or by e-mail to OnlineServiceApplications@wkud.com. All fields with the asterisk (*) are required.

*Rental agreements or proof of ownership documents along with a copy of your driver’s license are required prior to connection of service, and can be submitted by email OnlineServiceApplications@wkud.com or fax 865-531-1960.

Fee Information: All customers requesting service connection are required to pay a $25.00 non-refundable service charge. Rental property tenants are required to pay a $100.00 refundable deposit in addition to the service charge. Pending credit verification, fees may be required at setup of service.

MONTHLY WATER RATE SCHEDULE MONTHLY WASTEWATER RATE SCHEDULE
(1) RESIDENTIAL WATER RATE:
$13.05 CUSTOMER CHARGE
$3.71 PER 1000 GAL.		 (1) RESIDENTIAL RATE PER UNIT: 
$23.27 CUSTOMER CHARGE
$7.54 PER 1000 GAL.
ALL OVER 13000 GAL. NO CHARGE
 
(3) COMMERCIAL, MUNICIPAL, PUBLIC SCHOOL, 
HOSPITAL SERVICE RATE: PER UNIT OR SPACE:
$21.00 CUSTOMER CHARGE
$3.71 PER 1000 GAL.
 (3) COMMERCIAL, MUNICIPAL, PUBLIC SCHOOL,
HOSPITAL RATE:
CUSTOMER CHARGE BASED ON METER SIZE
$7.54 PER 1000 GAL.
(4) APARTMENTS, HOTEL, MOTEL, MULTI SPACE UNITS
PER UNIT OR SPACE:
$6.11 CUSTOMER CHARGE
$3.71 PER 1000 GAL.
(4) APARTMENTS, HOTEL, MOTEL, MULTI-SPACE UNITS   
PER UNIT OR SPACE:   
$16.92 CUSTOMER CHARGE
$7.54 PER 1000 GAL.
*INDUSTRIAL: TO BE DETERMINED ON INDIVIDUAL BASIS

Today's Date:  
Date Service is Desired:  *  
Type of Request:   *
First Name:   *
Last Name:   *
Driver's License Number:  *
License State:  
Birth Date:    
Employer:  
Name of Employer:  *

Mailing Address:
Please enter the address where bills should be sent.
Street Address/P.O. Box:  *
City:  *
State:  *
Zip Code:   *

Service Address:
Please enter the physical service location/911 address.
Service Address:  
Comments:  
E-mail:  *
Confirm E-mail:  *
Home Phone:--   *
Cell Phone:--  
Spouse Name: 
Co Applicant Driver's License:  
Co Applicant License State:  
Co Applicant Birth Date:    
Co Applicant Employer:  

Online Account Portal:
As one of our services, we offer an online portal where you can pay your bill and manage your account.  If you would like to use this service, please create a password and password hint for your account. 
Password:  
Confirm Internet Password:  
Password Hint:

Fee and Deposit Information:
Once your account is officially created in our system, you will receive an email with the total amount due on your new account.

Deposit:  

DO YOU CURRENTLY HAVE WATER SERVICE WITH WKUD?
(yes or no)		  *
IF YES, WHAT ADDRESS?  
DO YOU WANT THAT SERVICE DISCONNECTED?
(yes or no)		  
IF YES, WHAT DATE?  
DO YOU CURRENTLY HAVE HAVE A DEPOSIT ON FILE WITH WKUD?
(yes or no)		  
IF YES, would you like the deposit transferred to the new account?  
Do you own or rent at the service location?   *
Please select your preferred billing method:  
 
The applicant agrees to use and pay for service in accordance with the rates, rules and regulations of the District now or hereafter in force, and which are made part of this contract. Further, the undersigned agrees that the District may enter upon the property above referred to for the purpose of making, inspecting and maintaining such installations as may be required of it incident to this application. A Lessors deposit of $100.00 will be required. Deposit is refundable upon termination of service, and subject to change.
Pursuant to this application and payment made to the District hereunder, the District agrees to install a water service line from its main to the property line and meter and meter box at such point. After the completion of such installations, the applicant shall become liable for the payment of water bills as they become due from time to time in accordance with applicable rates. This service is not transferable. The District agrees to provide water through this service of such quality of such volume and at such pressure as normally can be provided to this locality in the ordinary and usual operations of the District’s System. Applicant agrees to pay for all services provided by West Knox Utility District and understands they will be held liable for any and all collection services and/or costs, including but not limited to attorney fees, associated with the collection of a debt. West Knox Utility District is entitled to deny service to a new applicant based on the delinquency of a prior debt within the District by that applicant until said debt is satisfied.
The undersigned shall cause no cross-connections, auxiliary intake, by-pass or interconnection to be made or allow one to exist for any purpose whatsoever unless the construction and operation of the same have been approved by the Tennessee Department of Health and Conservation and the West Knox Utility District. The operation of such cross-connection, auxiliary intake, or interconnection is at all times under the direct supervision of West Knox Utility District.

In the event that this contract is also for wastewater service, the District hereby agrees to install a wastewater collection line to the property of undersigned, at which point it shall be the responsibility of the undersigned to make the necessary service connection. After the completion of such installation, the applicant shall become liable for the payment of wastewater bills as they become due from time to time in accordance with applicable rates.
I understand that checking this box and typing my name in the field provided below is my electronic signature.
  Applicant Name:     *