Application For Water Service Application For Water Service Please enable JavaScript in your browser to complete this form.Water Utility *-- Please Choose a Water Utility --Alpat - Homestead Division (Chugiak)Alpat - Moorehand Division (Anchorage)Alpat - Sherwood Division (Mat-Su)Nikishka Bay Utilities (Nikiski)Oasis Water - Field of View Division (Mat-Su)Oasis Water - McKinley View Division (Chugiak)Romig Park (Anchorage)Please choose the water utility which serves your property.Account Type *New Account - Establish a new accountExisting Account - Update your account informationWater Service TypeResidential Water ServiceCommercial Water ServiceApplicant's InformationBusiness nameBusiness TypeApplicant's Legal Name *FirstLastApplicant's Email address *Applicant's Primary Phone Number *Applicant's Secondary Phone NumberApplicant's Drivers Licence or State ID # *Alternate ContactPlease provide contact information for an alternate contact person, such as the applicant's spouse, roommate, or family member.Secondary Contact NameFirstLastSecondary Contact EmailSecondary Contact Phone NumberProperty & Billing InformationWater Service Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe address for the property which is receiving water serviceBilling Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe address for where the water bills should be mailed.Are you Buying or Renting? *BuyingRentingLandlord's NameFirstLastLandlord's EmailLandlord's Phone NumberClosing DateWhen do you plan to close on the purchase of the property?Move in DateWhen do you plan to move in?Agreement & SignatureService Agreement *I agree to comply with the utility's tariff and I understand that failure to comply can result in a suspension of water service. I agree to provide safe and unobstructed access to utility employees or agents where access is required and to promptly pay all water utility that are due. I agree I will not obstruct my keybox and will maintain it in working order as required the water utility's tariff. I understand that all expenses incurred in the repair of my keybox are my responsibility and that a $70 disconnect fee and a $70 reconnect fee will be charged if service is suspended for any reason. I understand all unpaid tenant charges are the property owner’s responsibility.GDPR Agreement *I consent to having this website store my submitted information so they can respond to my application.Digital Signature *By typing your full name here, you confim that the information given in the above form is correct, and that you agree to the terms described above.Date *Please enter the date which you are digitally signing this agreement.WebsiteSubmit
Application For Water Service Please enable JavaScript in your browser to complete this form.Water Utility *-- Please Choose a Water Utility --Alpat - Homestead Division (Chugiak)Alpat - Moorehand Division (Anchorage)Alpat - Sherwood Division (Mat-Su)Nikishka Bay Utilities (Nikiski)Oasis Water - Field of View Division (Mat-Su)Oasis Water - McKinley View Division (Chugiak)Romig Park (Anchorage)Please choose the water utility which serves your property.Account Type *New Account - Establish a new accountExisting Account - Update your account informationWater Service TypeResidential Water ServiceCommercial Water ServiceApplicant's InformationBusiness nameBusiness TypeApplicant's Legal Name *FirstLastApplicant's Email address *Applicant's Primary Phone Number *Applicant's Secondary Phone NumberApplicant's Drivers Licence or State ID # *Alternate ContactPlease provide contact information for an alternate contact person, such as the applicant's spouse, roommate, or family member.Secondary Contact NameFirstLastSecondary Contact EmailSecondary Contact Phone NumberProperty & Billing InformationWater Service Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe address for the property which is receiving water serviceBilling Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe address for where the water bills should be mailed.Are you Buying or Renting? *BuyingRentingLandlord's NameFirstLastLandlord's EmailLandlord's Phone NumberClosing DateWhen do you plan to close on the purchase of the property?Move in DateWhen do you plan to move in?Agreement & SignatureService Agreement *I agree to comply with the utility's tariff and I understand that failure to comply can result in a suspension of water service. I agree to provide safe and unobstructed access to utility employees or agents where access is required and to promptly pay all water utility that are due. I agree I will not obstruct my keybox and will maintain it in working order as required the water utility's tariff. I understand that all expenses incurred in the repair of my keybox are my responsibility and that a $70 disconnect fee and a $70 reconnect fee will be charged if service is suspended for any reason. I understand all unpaid tenant charges are the property owner’s responsibility.GDPR Agreement *I consent to having this website store my submitted information so they can respond to my application.Digital Signature *By typing your full name here, you confim that the information given in the above form is correct, and that you agree to the terms described above.Date *Please enter the date which you are digitally signing this agreement.WebsiteSubmit