Online Application for Water & Sewer Service Is This is A Rental Property (required) Yes No 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 No 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 There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
