Fill in a Valid Dekalb County Water Application Form Get Your Dekalb County Water Application Now

Fill in a Valid Dekalb County Water Application Form

The DeKalb County Water Application form is a document that residents must complete to request water service from the county. This form collects essential information to ensure proper service setup and management. Understanding the requirements and process for submission is crucial for a smooth application experience.

Get Your Dekalb County Water Application Now

Common PDF Templates

Example - 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

 

 

 

Documents used along the form

When applying for water service in Dekalb County, several forms and documents may be required in addition to the Dekalb County Water Application form. These documents help ensure that your application is processed smoothly and efficiently. Below is a list of commonly used forms and their brief descriptions.

  • Proof of Identity: This document verifies the applicant's identity, typically requiring a government-issued photo ID, such as a driver's license or passport.
  • Proof of Residency: Applicants may need to provide a document showing their current address, such as a utility bill or lease agreement.
  • Social Security Number: Some applications require the applicant’s Social Security number for identification and record-keeping purposes.
  • Property Deed: This document proves ownership of the property where water service is being requested. It may be a copy of the property deed or a recent tax statement.
  • Application Fee Payment: A receipt or proof of payment for any application fees associated with the water service application is often required.
  • Service Agreement: This form outlines the terms and conditions of water service, which the applicant must sign to acknowledge their understanding.
  • Authorization Form: If someone is applying on behalf of the property owner, an authorization form may be necessary to grant permission.
  • Inspection Report: In some cases, an inspection report may be needed to confirm that the property meets local plumbing and safety standards.
  • Legal Guardian Documentation: Parents seeking to complete the water service application may need to provide documentation of guardianship, such as the California PDF Forms for establishing authority over a minor's services.
  • Emergency Contact Information: This form collects information about a designated contact person in case of emergencies related to the water service.

Gathering these documents ahead of time can help streamline the application process for water service in Dekalb County. Be sure to check with local authorities for any specific requirements that may apply to your situation.