Loop 360 Water
Supply Corporation

500 North Capital of Texas Hwy.

Building 1, Suite 125
Austin, TX 78746
Phone: 512-402-1990 Fax: 512-402-0304

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IRIS Emergency Notification Application

- 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.
- 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.
- Priority 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
- Priority Contacts #2 - Optional
  
  If you have another person you would want to be contacted, fill out the Contact #2 fields below:
  
  Priority Email #2 Please enter an email address.
  
  Priority Phone Number #2 Maximum 20 characters Please enter a phone number.
  
  Home Phone? Yes
  
  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.) REQUIRED I so Request Please fill out this field.
- 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.
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