Request for Water, Sewer and/or Refuse Service

Request for Water, Sewer and/or Refuse Service

Enter your service address, move-in date, and contact details to start service at your Woodburn location.
Service Information
Service Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Move-in Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Are you the owner or renter?
Renters are required to pay a $300 deposit before service begins. Our office will contact you about paying the deposit.
Applicant Contact Information
Is your mailing address different from the service address?
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Resident #1 Name

First NameLast Name
Resident #1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Resident Email
example@example.com
Resident #2 Name

First NameLast Name
Resident #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Upload a copy of your driver's license or other photo ID

Cancelof
Landlord Information
Landlord Name

First NameLast Name
Landlord Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Agreement
By signing below, you agree to abide by the terms as set forth in Ordinance G-91-1048, with rates established in Ordinance No. 25-1435 and 25-1436 for the property listed above.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Service Information