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Service Application

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Please correct the field(s) marked in red below:

Please complete this form in its entirety and submit to the district at least two business days prior to the date you would like service to begin. A $20.00 charge for service initiation will appear on your first bill.
Please select the date you would like to begin service. Do not select weekends or holidays.
 
If you have medical needs or livestock, please complete the Water Budget Adjustment Request online or print this Water Budget Adjustment Request (PDF) to complete and return by U.S. Mail or fax with supporting document.

FOR OFFICE USE ONLY
FOR OFFICE USE ONLY
After pressing the Submit Form button, if you would like a confirmation number, please contact Customer Service at 818.251.2200.
  1. To receive a copy of your submission, please fill out your email address below and submit.

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