Online Application for Water & Sewer Service

IMPORTANT: Before you complete this form, you must review the Terms and Conditions document below:

TERMS AND CONDITIONS.pdf

Is This is A Rental Property (required)

Yes

Date of Application (required)

Move in Date (required)

Owner's Name (not Tenant or Renter)

First Name (required)

Last Name (required)

Service Address (required)

Mailing address if different from service address

Employer (required)

Employment Address (required)

Day Phone (required)

Evening Phone (required)

Email (required)

Proof of Ownership is required. We cannot put services in the name of renters or leasers. Deed of Trust, Warranty Deed, Settlement Statement, or Articles of Organization (required)

I have reviewed the Terms and Conditions document (required)

Yes

Type in Full Name of Owner in Agreement to Terms and Condition (required)

Type in Full Name of Second Party (If Applicable) Applicant in Agreement to Terms and Conditions

Date of Agreement to Terms and Conditions (required)

Additional Details or Comments

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