Reclaimed Water Service Request Form
Utility Service Address
Street Address Line 2
State / Province
Postal / Zip Code
Do you have an irrigation system on the property?
What type of water source do you use now at the property for irrigation?
Potable water (drinking water)
Water from a lake or pond
N/A, do not water
Would you like more information about sprinkler system efficiency, maintenance and repair practices?
How did you hear about this?
I received a postcard from the City
I received a letter from the City
Neighbor/Word of Mouth
Should be Empty: