500 N. Capital of Texas Hwy.
Building 1, Suite 125
Austin, Texas 78746 Phone: 512-402-1990 Fax: 512-402-0304

IRIS Emergency Notification Application

- Utility Services

The IRIS Emergency Notification System: This system is an additional tool the District uses to notify residents of an emergency or important District business.
The maximum number of form submissions has been reached. This form is currently not available.
- Travis County WCID #19
  IRIS System Application Form
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Levels of IRIS Emergency Notifications (Check one or more) REQUIRED Green Alerts (non-urgent, such as road repairs) - notified by email only Red Alerts (urgent, such as loss of water or boil water notices) - notified by phone, text, and emails Please fill out this field.
- Primary Contacts #1
  
  Priority Email #1 REQUIRED Please fill out this field. Please enter an email address.
- Priority Phone Number #1 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Phone Yes
- Cell Phone Yes
- Primary Contacts #2
  
  Priority Email #2 REQUIRED Please fill out this field. Please enter an email address.
- Priority Phone Number #2 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Home Phone Yes Cell Phone
- Cell Phone Yes
- I request that my personal information (name, address and/or telephone number(s) as listed in Section 182.052, Texas Utility Code, be kept confidential. (Please check to protect your personal information.) I so Request
- Electronic Signature (Please type your Name to Signify your Agreement to receive IRIS District Communications) REQUIRED Please fill out this field. Please enter valid data.
Submit

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