New Service Forms
Please make sure to print CCWSC Service Application and Agreement and fill out completely before sending them into the CCWSC. Please include a copy of your Warranty Deed with the Application and Agreement. Include your checks or money orders for new service, deposits have to be paid on a separate check or money order. Service will not be started until payment is received.
You can mail or drop off application and payment at our office at 416 Carancahua Blvd., Palacios, Texas 77465.
Request for Discontinuance of Service Form
If you would like your service discontinued you will need to completely fill out and sign the below request. We can not voluntarily discontinue service until we have this form. If you re-connect your service you will be charged a $100.00 reconnect fee, $100.00 deposit and if anything is owed on the account will have to be paid up front including assessment fees if not up to date.
Pay On-line through Payclix
To pay or register with Payclix click link below:
or call 1-866-Payclix (729-2549)
Please feel free to contact our office at (361) 972-0929, for questions or concerns. Office hours are Monday – Thursday 9am-5pm and Friday 9am-12pm. After Hours Emergency contact is (316) 404-1102.
Disclosure of Personal Information
CCWSC customer information can not be provided to a third party unless the customer first consents to the disclosure on the below form. If you would like your information given out to a third party, please fill out the Disclosure of Personal Information and send into our office.