Application for Service

City of Mountain Home Water and Wastewater Department
752 North College Street
Mountain Home, AR 72653
(870)425-5115
[email protected]

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Failure to do so may cause an interruption or delay in service.","className":"d-block"},{"type":"file","required":true,"label":"You may upload up to 20 files (35 Mb max). Files can be PDF, JPG, JPEG format. To upload multiple files, please hold control while clicking on multiple files before clicking \"Open\".","name":"Attachments-","subtype":"file","multiple":true,"className":"d-block"},{"type":"paragraph","subtype":"p","label":"<div class=\"clear\"></div>","className":"d-block"},{"type":"paragraph","subtype":"p","label":"<hr>","className":"d-block"},{"type":"header","subtype":"h4","label":"Signature","className":"d-block"},{"type":"checkbox-group","required":true,"label":"I hereby acknowledge responsibility for payment of all charges at the above service address until termination of services is requested. Any deposit paid to secure utility services may be applied against any outstanding amount or debt reflected in the final billing. 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