Blank Dekalb County Water Application PDF Form Edit Document

Blank Dekalb County Water Application PDF Form

The DeKalb County Water Application form is a crucial document that residents must complete to establish water service in their homes or businesses. This form ensures that the county can efficiently manage water resources and provide reliable service to its community. To get started on securing your water service, please fill out the form by clicking the button below.

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The Dekalb County Water Application form serves as a crucial document for residents seeking to establish or modify water service within the county. This form is designed to collect essential information from applicants, including personal identification details, property addresses, and specific service requests. Additionally, it outlines the requirements for submitting the application, such as proof of residency and any applicable fees. The form also addresses various scenarios, including new service connections, transfers of service, and discontinuation requests. By ensuring that all necessary information is provided, the application process aims to facilitate efficient service delivery while adhering to local regulations. Understanding the components of the Dekalb County Water Application form is vital for residents to navigate the water service setup efficiently and effectively.

Sample - Dekalb County Water Application Form

CHECKLIST FOR WATER/SEWER SERVICE APPLICATION

OWNERS: Along with the NEW SERVICE application, please provide:

Copy of the Settlement Statement**;

Valid Government Issued picture identification; Completed

Certificate of Compliance or Exemption Form.

Management Agreement; ONLY if you will have your property managed by a third party.

**In lieu of settlement statement; Deeds (e.g., Foreclosure, Security and Warranty) may be submitted;however, the document MUST be recorded by the court.

Certificate of Compliance: This form is required for properties in unincorporated DeKalb County purchased after 06/01/2008 and were built before 1993. If there is any question to whether you are in unincorporated or incorporated DeKalb County please check your address at http://web.co.dekalb.ga.us/PropertyAppraisal/realSearch.asp. The Tax District field will display “unincorporated” if it is in unincorporated DeKalb County, but for incorporated properties the field will display a city name (e.g., “Avondale” or “Decatur”). This form must be submitted within 30 days of receipt of the application to avoid an interruption of service. NO EXTENSION will be given for any occupied properties. To schedule an appointment for an inspection you may contact any licensed plumber or home inspector.

Exemption Form: Please refer to the Exemption Form for the list of exemptions. Be sure to check the

box next to the appropriate exemption. NOTE: The box stating “Any real property that is being advertised for foreclosure;” does not include a home purchased as a foreclosure unless the property was purchased on the courthouse steps, which means there was no closing or settlement statement. The Exemption Form should be submitted with your application, proof of ownership and identification.

TENANTS: Along with the NEW SERVICE application please, provide:

*Please note that the OWNER/MANAGEMENT COMPANY of the property must have an account in order for a tenant to establish service.

First page of lease, which includes owner/tenant information and dates of lease;

Signature page of lease, which includes signatures of both parties on lease; Valid Government Issued picture identification.

MANAGEMENT COMPANY: Along with the NEW SERVICE application, please provide:

*Please note that the OWNER of the property must have an account in order for a Management Company to establish service;

*HOWEVER, if the OWNER provides a copy of Management Agreement with their application the Management Company will not need to apply.

Management Agreement, which includes owner information and dates of contract, and signatures of both parties on the agreement.

Valid Government Issued picture identification of the representative of the company that completes the application.

REALTORS: Along with the NEW SERVICE application, pleaseprovide:

Listing Agreement OR Proof of Assignment; which should have the property address, the realty company name, and the realtor name that is applying for service.

Valid Government Issued picture identification of realtor.

INSPECTION (30 days): Along with the TEMPORARY SERVICE application, please provide:

$90 ($45 “turn on” fee and $45 “turn off” fee) - (If the property is purchased before the inspection period (30 days), $45 credit will apply toward your firstbill).

Mailing address for statement, which should be different than the service address. Valid Government Issued picture identification.

**Applications can be emailed (using new address in the subject line), faxed, mailed or brought in to our office.

DeKalb County, Georgia

Utility Customer Operations

774 Jordan Lane, Suite 200

Decatur, Georgia 30033

Phone: (404) 378-4475 Fax: (404)-687-3504

Email: newwaterservice@dekalbcountyga.gov

Hours: 8:00 a.m. – 5:00 p.m., Monday through Friday; excluding legal holidays

APPLICATION FOR WATER/SEWER SERVICE

 

 

 

 

 

 

 

 

 

 

 

 

For Office Use Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Number

 

 

 

 

 

 

 

 

Closing Date/Beginning Lease Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please Print

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Last, First MI OR Business Name)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C/O:

 

 

 

 

 

 

 

 

 

 

 

_

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER

TENANT

 

MANAGEMENT COMPANY

 

 

REALTOR

 

Service Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Street Address)

 

 

 

 

 

 

 

(City, State, and Zip Code)

 

Mailing Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If different than Service Address)

 

 

 

 

 

 

 

 

(City, State, and Zip Code)

 

Telephone Number:

 

 

 

 

Cell Phone Number

 

 

 

 

 

 

 

 

Email Address:

 

 

 

 

_ Enroll in E-Billing*:

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number/Tax ID

 

 

 

 

 

 

Driver’s License/ID Number:

 

 

 

 

 

 

Previous Address(If DeKalb County):

 

 

 

 

 

 

 

 

_

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leave on at Previous Address:

 

Yes

No – Please disconnect on:

 

 

_

 

 

 

(If DeKalb County)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In consideration for receiving water and/or sewer service from DeKalb County, Georgia, at the above location, I hereby acknowledge responsibility for payment of service billings. A non-refundable application fee of twenty dollars ($20) will be added to your first bill.

Residential water accounts are billed on a bi-monthly basis (every two months), and payment by the indicated due date is required to prevent interruption of service. You are responsible for water/sewer service until your account is closed.

I understand that DeKalb County is not responsible for water damage to this property or its contents. If the water is off, it

(Initials) may take up to 5 business days to have service restored. Any additional trips to property will be assessed a $45 trip

charge.

UNLOCK METER ONLY

In consideration for having water service initiated/restored at the above address, I agree to ensure that all water service facilities (sink and tub faucets/inside and outside, toilets, etc.) are turned off; or that someone will be on the property to check for leakages. We recommend that you turn off your private cut off valve, if applicable. Once the application is processed, it may take up to

5 business days to restore water service.

Signature:Date:

***APPLICATIONS WILL NOT BE PROCESSED WITHOUT APPROPRIATE DOCUMENTATION- PLEASE REFER TONEW SERVICE CHECKLIST***

Email

 

Print Form

 

 

 

Document Breakdown

Fact Name Description
Purpose The Dekalb County Water Application form is used to request water service from the county's water authority.
Eligibility Applicants must reside within Dekalb County and meet specific requirements set by the water authority.
Governing Law The application is governed by the Dekalb County Code of Ordinances, particularly Chapter 94 related to water services.
Submission Method Completed forms can be submitted online, by mail, or in person at designated county offices.
Processing Time Typically, the processing of the application takes up to 10 business days, depending on the volume of requests.

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Misconceptions

Understanding the Dekalb County Water Application form can be challenging. Here are some common misconceptions that may lead to confusion:

  • It is only for new water connections. Many believe the application is solely for new service. However, it is also required for service modifications or transfers.
  • Only homeowners can apply. Renters and tenants can also submit the application, provided they have the necessary permissions from the property owner.
  • There are no fees associated with the application. In fact, there may be fees for processing or service initiation that applicants should be aware of.
  • All applications are approved automatically. Approval is not guaranteed. Applications are reviewed, and additional information may be requested.
  • It can be submitted at any time without consequences. Delays in submission can lead to service interruptions or penalties, especially for urgent requests.
  • The application process is the same for all types of services. Different types of services may have unique requirements or processes that applicants need to follow.
  • Once submitted, the application cannot be changed. Applicants can request modifications or updates to their application if necessary, but it is best to do this promptly.
  • There is no need to provide supporting documents. Supporting documents may be required to verify identity, ownership, or other relevant information.

Being informed about these misconceptions can help streamline the application process and ensure a smoother experience.

Documents used along the form

When applying for water service in Dekalb County, several additional forms and documents may be required to ensure a smooth application process. Each of these documents serves a specific purpose and can help streamline the approval of your water service request. Below is a list of commonly used forms and documents that applicants may encounter.

  • Proof of Identity: This document verifies the applicant's identity and may include a driver's license, state ID, or passport. It helps establish who is requesting the water service.
  • Proof of Residency: Applicants must provide documentation showing they reside at the address for which water service is requested. This could be a lease agreement, utility bill, or bank statement with the applicant's name and address.
  • Credit Check Authorization: Some water service providers may require authorization to conduct a credit check. This document allows the provider to assess the applicant's credit history, which can influence the terms of service.
  • Motorcycle Bill of Sale: To facilitate the sale and transfer of ownership for a motorcycle, you will need to complete a Motorcycle Bill of Sale form. This important document details the transaction and can be accessed at califroniatemplates.com.
  • Service Agreement: This form outlines the terms and conditions of water service. It must be signed by the applicant to confirm their understanding and acceptance of the service guidelines.
  • Application Fee Payment Receipt: A receipt showing payment of any required application fees is often necessary. This document proves that the applicant has fulfilled the financial obligations associated with the application.
  • Connection Request Form: If the property is not already connected to the water supply, a separate connection request form may be needed. This document initiates the process of linking the property to the water service network.
  • Meter Installation Request: For new service installations, this form requests the installation of a water meter. It is crucial for monitoring water usage and billing.
  • Emergency Contact Information: Providing an emergency contact can be essential for the water provider in case of service disruptions or urgent issues related to the water supply.
  • Environmental Impact Statement: In some cases, especially for new developments, an environmental impact statement may be required to assess how the new water service could affect local ecosystems.

Gathering these documents in advance can facilitate the application process for water service in Dekalb County. Each form plays a vital role in ensuring that the service provider has all the necessary information to process the application efficiently and effectively.