CSWR Start/Stop Service Request
First Name:
Please enter your first name.
Last Name:
Please enter your last name.
Email:
Please enter your email.
Home Phone:
Please enter your phone number.
Mobile Phone:
Please enter your mobile phone number.
Preferred Communication Method:
Select your preferred communication method
Call
Email
SMS
Please enter your preferred communication method.
Opt-In for Service Notifications:
Opt-In to receive important service notifications
Yes
No
Please make a selection.
Reason for Inquiry:
Please choose 'Start' or 'Stop' service
Start Service
Stop Service
Please select a type of service.
Requested Services (select at least one):
Water
Sewer
Irrigation
Please select at least one service (Water, Sewer, or Irrigation).
Date to Start Service
Existing Property or New Construction?
Is this an existing property or new construction?
Existing Property
New Construction
Construction Address:
Construction Address 2:
Construction City:
Construction State:
Construction ZIP Code:
Enter Service Address
Search For Your Address:
Address:
Apartment/Suite/Bldg (optional):
City:
State:
ZIP Code:
Own or Rent the Property?
Select an option
Own
Rent
Landlord First Name:
Please enter the landlord first name.
Landlord Last Name:
Please enter the landlord last name.
Search Landlord Address:
Landlord Address:
Landlord Address Line 2 (optional):
Landlord City:
Landlord State:
Landlord ZIP Code:
Landlord Phone Number:
Please enter a valid 10-digit landlord phone number.
Landlord Email:
Please enter a valid email address.
Is your billing address the same as your service address?
Select an option
Yes
No
Billing Address
Search For Your Billing Address:
Billing Address:
Billing Apartment/Suite/Bldg (optional):
Billing City:
Billing State:
Billing ZIP Code:
Type of Property
Property Type:
Select Residential or Commercial
Residential
Commercial
Type of business:
Features at Property
Is water on and running at this residence right now?:
Select Yes or No
Yes
No
Lawn Irrigation/Sprinkler System:
Select Yes or No
Yes
No
Swimming Pool/Hot Tub/Water Feature:
Select Yes or No
Yes
No
Private Well:
Select Yes or No
Yes
No
Fire Suppression System:
Select Yes or No
Yes
No
Does the property have a backflow prevention assembly?
Select Yes or No
Yes
No
I certify that I have reviewed the above information.
You must certify that you have reviewed the information.
Comments or Additional Information:
Date to Stop Service:
Enter Address
Search For Your Address:
Address:
Apartment/Suite/Bldg (optional):
City:
State:
ZIP Code:
Do You Own or Rent the Property?
Select an option
Own
Rent
Landlord First Name:
Please enter the landlord first name.
Landlord Last Name:
Please enter the landlord last name.
Search Landlord Address:
Landlord Address:
Landlord Address Line 2 (optional):
Landlord City:
Landlord State:
Landlord ZIP Code:
Landlord Phone Number:
Please enter a valid 10-digit landlord phone number.
Landlord Email:
Please enter a valid email address.
Enter Forwarding Address
Search For Your Address:
Address:
Apartment/Suite/Bldg (optional):
City:
State:
ZIP Code:
Comments or Additional Information:
Submit
Missing Info: Please provide missing fields above!