E-Gov Services City of Carlsbad

WARNING! Please submit request for Double Eagle Water Service at least 3 business days prior to the date connection is needed. Please do not use this form to report issues of an emergency nature or for conditions requiring an immediate response. If your issue is an emergency, please use the telephone and dial 575-885-2111.

Double Eagle Water Service Request

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Purpose. This form is used to request water service from the City of Carlsbad's Double Eagle Water System.

* Information is required.

Contact Information

First Name:
Last Name:
Business Name:
Email:
Daytime Phone:	() –
Fax:	() –
Address:
City:
State:
ZIP:

* Tap Name/Location for service requested

Section Township and Range for Tap Location Requested

* Connection Date Requested

* Service duration requested

* Maximum monthly usage requested (in gallons)

Comments

Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.