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Commercial Water Application

  1. Instructions

    Please complete the application below to sign up for service. Once the application is submitted, you will receive a call or email confirmation from our office with next steps. Please keep in my we require one business days notice when starting service

  2. Enter N/A if not applicable

  3. City

    Lafayette

  4. State

    Indiana

  5. *If this business has had service or currently has service under the same name or tax ID

  6. *Next business day from today

  7. Note:

    Due to COVID-19, our office is closed for in person services. Please consider uploading your lease or closing statement and 2 forms of Identification below to save time. If they are not uploaded with this application, we will ask you to email copies or place in the dropbox before processing your application. If we have valid IDs on file for you, we will let you know.

  8. Government Issued Photo ID

  9. Social Security Card, Debit/Credit card (with numbers covered), Work ID, Insurance Card, Gun Permit, Student ID. No pieces of mail.

  10. Leave This Blank:

  11. This field is not part of the form submission.