Request to have water turned on

Service requested (required)

Water

Sewer

Names of all owners of the property (required)

Mailing address of owner(s) (required)

City (required)

State (required)

Zip code (required)

Telephone (required)

Fax

Email address (required)

Driver's Lic. # or Mother's Maiden Name (if you want to discuss your account by phone)

Address to which bills and notices are to be sent (required)

Same as above

The following

Billing name or "In care of"

Billing mailing address

Billing city, state and zip code

Billing telephone

Garbage pick-up

Garbage pick-up (please call Waste Management at (530) 283-2065)

Service street address (required)

Assessor's parcel number

Have the premises ever been supplied by CPUD before? (required)

Yes

No

Unknown

Do any other water sources exist on the premises such as a well, stream, pond, irrigation ditch, or spring? (required)

No

Yes

Unknown

If yes, describe the other water source

Is there a water shut-off valve so that water may be shut-off to the entire premises without resorting to the valve in the meter box? (required)

No

Yes

Unknown

If yes, describe the shut-off valve location

Is there a sewer clean-out located on the premises and accessible from outside the structure? (required)

No

Yes

Unknown

If yes, describe the sewer clean-out location

Proof of ownership (check one or more) (required)

Recorded Deed

Tax Bill

Other

No attachment needed: I am an existing CPUD customer and already own this property

Attach proof of ownership (recorded deed, tax bill, or other). Not needed if you are an existing CPUD customer who already owns this property.

Third Party Notification

I am age 65 or older or a dependent adult and want to designate a third party to be notified if my account is past due and subject to termination of service. Please send me the Third Party Notification Form.

Date service requested to begin (required)

Purpose for which service is to be used (check all that apply) (required)

Single Family Residential

Multiple Residential

Commercial

Industrial

Multiple Residential: number of units

Commercial or Industrial: describe

Certification (required)

I hereby certify that the information provided in this Application is true and correct to the best of my knowledge. I agree to comply with the rules and regulations of CPUD and have read the Additional Information in the Application for Service.

I am signing as (required)

Owner

Owner's Agent (attach documentation)

Full name (typed signature) (required)

Date (required)

Request to have water turned on

Apply online

Other ways to apply

Apply online

Other ways to apply

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