Forms The following tariffs include effective sample forms: Form 15 - Main Extension Contract - Individuals (3014-W) (pdf) Form 16 - Main Extension Contract (4651-W) (pdf) Form 17 - Indemnity Agreement (1783-W) (pdf) Form 73A - Application for Special Connection (1098-W) (pdf) Form 73A - Application for Fire Protection Service, except Village District (2911-W) (pdf) Form 73 - Application for Special Connection, except Village District (2927-W) (pdf) Form 74 - Shopping Center Agreements (1195-W) (pdf) Form 75 - Apartment/Condominium Complex Agreement (1306-W) (pdf) Form EI-1 - Emergency Interconnect Agreement New Service (1969-W) (pdf) Form EI-2 - Emergency Interconnection Agreement Existing Interconnection (1970-W) (pdf) Appendix C - Uniform Fire Hydrant Service Agreement (1465-W) (pdf) Additional Information, Forms and Notices Ad Hoc (4053-W) (pdf)
Billing History for Sewer Company (4098-W) (pdf)
Cancel Bill and Reissue (4061-W) (pdf)
Check Meter - Consistent Reading (4057-W) (pdf)
Check Meter - No Leak Detected (4058-W) (pdf)
Check Meter - Possible Leak (4059-W) (pdf)
Check Water Pressure (4060-W) (pdf)
Credit Letter (4063-W) (pdf)
Curb Box Tampering (4056-W) (pdf)
Customer Request - Remove Fluoride (4065-W) (pdf)
Disregard Second Estimated Bill (4054-W) (pdf)
Final Bill for Service (4051-W) (pdf)
Final Bill - Transfer Balance (4066-W) (pdf)
Final Notice of Unpaid Balance to Collection Agency (4081-W) (pdf)
Final Shut-Off Notice (4052-W) (pdf)
General Water Billing Explanation (4103-W) (pdf)
Important Notice Collection Notice on Final Bill (4050-W) (pdf)
Inaccessible Meter (4069-W) (pdf)
Inform Customer - High Consumption (4067-W) (pdf)
Landlord Service Notice (4078-W) (pdf)
Leak Adjustment Denied - Low Volume (4072-W) (pdf)
Leak Adjustment Denied -High Volume Not Due to Leak (4075-W) (pdf)
Leak Adjustment Denied - Not Residential Customer (4073-W) (pdf)
Leak Adjustment Denied - Second Request (4071-W) (pdf)
Leak Adjustment Provided (4070-W) (pdf)
Leak Adjustment - Need Receipts (4074-W) (pdf)
Leak Found By Company (4076-W) (pdf)
Leak Found - Water Shut-Off (4077-W) (pdf)
Main Flushing Program (4064-W) (pdf)
Meter Removed - Property Demolition (4096-W) (pdf)
Meter Test Results - Malfunction (4086-W) (pdf)
Meter Test Results - Meter Accurate (4087-W) (pdf)
Need Customer Information (4088-W) (pdf)
Notice of Company Posting Error to Your Account (4090-W) (pdf)
Notice of Meter Tampering (4084-W) (pdf)
Notice of Periodic Meter Change (4085-W) (pdf)
Notice of Private Fire Service Disconnect (4095-W) (pdf)
Notice of Unpaid Balance to Collection Agency (4080-W) (pdf)
Notice of Water Shut-Off - Irrigation System Problem (4104-W) (pdf)
Notice of Water System Upgrade (4083-W) (pdf)
NSF Check (4089-W) (pdf)
Payment Arrangement Confirmation (4091-W) (pdf)
Payment Arrangement - Re-Affirm (4092-W) (pdf)
Physician's Certificate - Medical Emergency Certificate (4082-W) (pdf)
Property Owner/Rental Agent Agreement (4062-W) (pdf)
Real Estate Development Agreement (2213-W) (pdf)
Reminder Notice (4049-W) (pdf)
Request for Taxpayer ID Number (4099-W) (pdf)
Returned Bill Notice (4094-W) (pdf)
Returned Check - Various Reasons (4097-W) (pdf)
Returned Mail Notice (4093-W) (pdf)
Service Verification (4102-W) (pdf)
Shut-Off Water/Hot Water Heating Inactive (4068-W) (pdf)
Third Party Notification (4105-W) (pdf)
Vacant House - Water Running (4101-W) (pdf)
Water Line Break Apology (4055-W) (pdf)
Water Usage - No Customer (4100-W) (pdf) |
