Online Water Service ApplicationPlease complete the form below to apply for new water service. Service Information Service Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Billing Address * Same as Service Address Different address for billing Applicant Information Applicant's Name * First Name Last Name Email Address * Primary Phone Number * (###) ### #### Primary Phone Type * Mobile Home Work Would you like to add an alternate phone number? Yes Social Security Number * Driver's License Number * Date of Birth * MM DD YYYY Application Fee & Deposit After submitting this form, new customers must submit an initial payment of $100 ($50 application fee + $50 deposit). The initial payment may be made via mail of a check or money order, or by credit card over the phone. Initial payments are not accepted online at this time. When you complete this form, you will be redirected to a page with detailed information on how to submit the initial payment. Please note that service will not be turned on until the initial payment is received. Initial Payment * I understand that I must submit an initial payment of $100 before my water service will be turned on. Schedule of Fees Monthly Rates & Fees Minimum Monthly Rate $38.50 Usage Rate $2.96 per 1,000 gallons Regulatory Assesment Fee 1% of total amount due SJRA Fee (Texaba residents only) $2.76 per 1,000 gallons Additional Fees Application Fee $50.00 Deposit $50.00 Reconnect Fee (Non-payment / disconnection) $25.00 Reconnect Fee (Customer Request) $50.00 Late Fee $5.00 or 10% Returned Check Fee $30.00 Customer Service Inspection (Commercial) $150.00 Customer Service Inspection (Residential) $75.00 Cut Lock Fee $50.00 New Tap Fee $600.00 Schedule of Fees * I have read and understand AquaTech Utilities' Schedule of Fees Billing Policies & Procedures Meters are read once a month and bills are mailed to customers or made available online, per customer preference. Customer may view their account balance online to determine amount due if no bill is received. Non-receipt of bill does not warrant non-payment of an amount due. If payment is not received on or before the due date, a 10-day final/disconnect notice will be mailed to the customer and a late fee of $5.00 or 10% will be assessed. If payment is not received before the disconnect date shown on the notice, service will be disconnected. All charges, including a $25 reconnect fee, must be paid before service will be reinstated. Once service is disconnected for non-payment, any damage that occurs to water supply equipment will result in the meter at the property being removed. All fees incurred must be paid in advance of service being reinstated. Service will be reinstated the following business day after all past-due fees and charges have been paid. Billing Schedule Billing Date: 1st of the month Due Date: 15th of the month Disconnect Date: 10 days past due date Online Bill Pay Save time and money with online bill pay! Customers may now manage and pay their bill online with our online bill pay service, available through our website. Customers may view their account and current amount due and make payments 24/7 by e-check or debit / credit card. Customers may also elect to receive electronic statements instead of mailed bills and sign up for automatic payments. Click here to quickly and easily register for online payment services. Billing Policies & Procedures * I have read and understand AquaTech Utilities' Billing Policies & Procedures Customer Service Agreement PURPOSE Woodland Hills Water Company (managed and serviced by AquaTech Utilities, LLC) is responsible for protecting the drinking water supply from contamination or pollution which could result from improper private water distribution system construction or configuration. The purpose of this service agreement is to notify each customer of the restrictions which are in place to provide this protection. The utility enforces these restrictions to ensure the public health and welfare. Each customer must sign this agreement before Woodland Hills Water Company will begin service. In addition, when service to an existing connection has been suspended or terminated, the water system will not re-establish service unless it has a signed copy of this agreement. RESTRICTIONS The following unacceptable practices are prohibited by State regulations. No direct connection between the public drinking water supply and a potential source of contamination is permitted. Potential sources of contamination shall be isolated from the public water system by an air-gap or an appropriate backflow prevention device. No cross-connection between the public drinking water supply and a private water system is permitted. These potential threats to the public drinking water supply shall be eliminated at the service connection by the installation of an air-gap or a reduced pressure-zone backflow prevention device. No connection which allows water to be returned to the public drinking water supply is permitted. No pipe or pipe fitting which contains more than 0.25% lead may be used for the installation or repair of plumbing at any connection which provides water for human use. No solder or flux which contains more than 0.2% lead can be used for the installation or repair of plumbing at any connection which provides water for human use. SERVICE AGREEMENT The following are the terms of the service agreement between Woodland Hills Water Company (the Water System) and the customer: Please enter your name: * The Water System will maintain a copy of this agreement as long as the Customer and/or the premises is connected to the Water System. The Customer shall allow his or her property to be inspected for possible cross-connections and other potential contamination hazards. These inspections shall be conducted by the Water System or its designated agent prior to initiating new water service; when there is reason to believe that cross-connections or other potential contamination hazards exist; or after any major changes to the water distribution facilities. The inspections shall be conducted during the Water System’s normal business hours. The Water System shall notify the Customer in writing of any cross-connection or other potential contamination hazard which has been identified during the initial inspection or the periodic re-inspection. The Customer shall immediately remove or adequately isolate any potential cross-connections or other potential contamination hazards on his or her property. The Customer shall, at own expense, properly install, test, and maintain any backflow prevention device required by the Water System. Copies of all testing and maintenance records shall be provided to the Water System. All Commercial and new structures are required to provide CSI Certification prior to starting service. ENFORCEMENT If the Customer fails to comply with the terms of the Service Agreement, the Water System shall, at its option, either terminate service or properly install, test, and maintain an appropriate backflow prevention device at the service connection. Any expenses associated with the enforcement of this agreement shall be billed to the Customer. Service Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Customer Service Agreement * I have read and understand AquaTech Utilities' Customer Service Agreement Meter Activation * I understand that once the water meter has been activated, AquaTech Utilities is not responsible for any water usage, including but not limited to usage from leaks or other sources Customer Signature Customer Name * First Name Last Name Today's Date * MM DD YYYY ✅ Your application has been submitted successfully. Thank you!We look forward to providing high quality water service to you and your family. INITIAL PAYMENTBefore service can be initiated, new customers must submit an initial payment of $100 ($50 application fee + $50 deposit). Payment may be made by check, money order, or debit/credit card.
