Forms The following tariffs include effective sample forms: Form 15 - Main Extension Contract - Individuals Form 16 - Main Extension Contract Form 17 - Indemnity Agreement Form 73 - Application for Special Connection, except Village District Form 73A - Application for Special Connection Form 74 - Shopping Center Agreements Form 75 - Apartment/Condominium Complex Agreement Form EI-1 - Emergency Interconnect Agreement New Service Form EI-2 - Emergency Interconnection Agreement Existing Interconnection Appendix C - Uniform Fire Hydrant Service Agreement Additional Information, Forms and Notices Ad Hoc Billing History for Sewer Company Cancel Bill and Reissue Check Meter - Consistent Reading Check Meter - No Leak Detected Check Meter - Possible Leak Check Water Pressure Credit Letter Curb Box Tampering Customer Request - Remove Fluoride Disregard Second Estimated Bill Final Bill for Service Final Bill - Transfer Balance Final Notice of Unpaid Balance to Collection Agency Final Shut-Off Notice General Water Billing Explanation Important Notice Collection Notice on Final Bill Inaccessible Meter Inform Customer - High Consumption Landlord Service Notice Leak Adjustment Denied - Low Volume Leak Adjustment Denied -High Volume Not Due to Leak Leak Adjustment Denied - Not Residential Customer Leak Adjustment Denied - Second Request 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) |
