Application for New Service

Sewer Connection: (Skip if Not New Sewer Connection)

By signing below, I acknowledge that I have provided the accurate and correct information about myself and the service address, and that important information about billing dates, due dates, turn off dates, rates and charges have been explained to me as well as charges required to pay for a new water tap and open a new account for service. The District has made available in their lobby a copy to see and read of the District’s current tariff which includes all the current rates, charges and billing policies and rules. I have also been informed of wastewater and storm water services, required at this address, and I am responsible for payment of storm water chargers billed on behalf of the City of Radcliff. I acknowledge that it is my responsibility to install all plumbing codes for new construction, which may include a hot water heater expansion tank. I acknowledge that it is my responsibility to install and maintain any pressure regulators to keep water pressure inside after the meter at an acceptable level. I agree that the District is not responsible for any property damages caused by faulty plumbing or erratic pressures on the District’s water mains. As a customer of the District’s I agree to receive automated calls concerning account status, notices and/or advisories. I may unsubscribe to this service at any time by contacting Customer Service. I am aware by unsubscribing I will not receive any special notices or advisories and must rely on other published notification for this information. I also give permission to District employees and sub-contractors to enter on to my property as needed to install or repair a new meter and service, and to restore grass or landscaping disturbed during installation or repairs. I agree that I am responsible for any debt accumulated for service and payment of any charges at my address regardless of household member, tenant, or guest that may use service. I will notify the District prior to moving, and will be responsible for all charges at this address, until the District has been formally notified by me .