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Tower Access Request Form
This form has been modified since it was saved. Please review all fields before submitting.
BWA will respond to requests for tower access within 48 hours of submission.
Primary On Site Contact
Enter the name of the primary on-site contact.
ID for Primary On Site Contact
Please upload a valid, government-issued photo ID for the Primary On Site Contact person.
Phone Number for Primary On Site Contact
Email for Primary On Site Contact
Tower Access Procedures
Click here to view Tower Access Procedures
Select the site you need to access from the list:
-- Select One --
North Elevated (3909 Sagebrush)
South Elevated (815 Mercedes)
Boston Elevated (3600 Boston)
Mont Del Elevated (17 Windward)
Team Elevated (305 Sexton)
Northwest Elevated (9100 Chapin)
Zolllie Allen Elevated (10222 Rolling Hills)
Enter the start date and time for the work.
Enter the end date and time for the work.
Project/Work Order Number
Enter the project or work order number.
Copy of Work Order
Please upload a copy of the work order.
Type of Work to Be Done
-- Select One --
Elevated Tank Access
Please note--contractors must provide their own equipment to access equipment on BWA elevated tanks. Contractors are not permitted to use the ladder on the elevated tank for tower access. Exceptions to this are access to Zollie Allen Elevated, Mont Del Elevated and Boston Elevated.
Enter the name of the provider (AT&T, Sprint, Verizon, etc.)
Provider Contact Name
Enter the name of the Provider Representative for this project.
Provider Contact Email Address
Enter the email address for the Provider Representative for this project.
Provider Contact Phone Number
Enter the phone number for the Provider Representative for this project.
Subcontractor Company Name
Enter the name of your company.
Will there be other workers at the site?
Names of Other Workers
Please enter the names of all workers who will be on site.
Vehicle License Plate
Enter the license plate number of the vehicle that will be on-site.
Will there be additional vehicles on-site?
License Plate Numbers for Additional Vehicles
Enter the license plate number(s) for the additional vehicles that will be on-site.
Will there be additional equipment on-site (i.e. backhoe, lift, trencher)?
Please list the additional equipment that will be on-site.
Name of Person Completing Request Form
Phone Number of Person Completing Request Form
IMPORTANT--PLEASE READ: By checking the "I Agree" box below, you agree and bind all contractors and individuals accessing Benbrook Water Authority ("BWA") premises to the terms of and compliance with the BWA Statement of Procedures document and the lease agreement between BWA and the telecommunications company for which the work is being done. this includes, but is not limited to, the indemnity and hold harmless provision in the BWA Statement of Procedure document and lease agreement. Checking the box below is also a certification that all statements made in the form are true and correct to the best of the applicant's knowledge and belief.
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