Utilities Forms

Various forms for utilities are provided below for your convenience:

  1. 10 DAY EXTENSION
  2. Utility Service Application
  3. Service Termination Request (PDF)
  4. Request for temp. service hold (PDF)
  5. Request for Leak Adjustment (PDF)
  6. Transferring Utilty Account (only for a new name) (PDF)
  7. Disability Form (PDF)
  8. Bank Draft Form- Water (PDF)
  9. Discontinue Bank Draft Authorization (PDF)
  10. Water, Sewer, and Sanitation Rates (PDF)

Submit Forms

Download the form, complete and submit to City Hall:

  • Fax to: 817-556-2060
  • Mail to:
    Keene City Hall - Utilities
    City of Keene
    1000 N Old Betsy Road
    Cleburne, Texas 76031