Water Application

Application for Service - $50.00

Sign Up Fee to be paid within 10 days of ownership
Today's Date - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Service Premises * Required
Street Address Address Line 2 City State ZIP Code
Application is hereby made to the Village of Greenwich Water Department for water to be supplied and used only In accordance with the rules, regulations and rates adopted by the Village Board of Trustees and currently on file at the office of the Village Clerk at the Community Center. It is to be understood and agreed that failure of the applicant to give prompt notice to have the service discontinued will make the undersigned liable for all water charges against application until time of notification.
Requested ID made for a * Required
Inch Meter.
Inside Rate * Required
Outside Rate * Required
Applicant Name * Required
First Last
Contact Phone # * Required
Email * Required
Mailing Address * Required
Street Address Address Line 2 City State ZIP Code
Signature * Required

Village of Greenwich