Apply for Water Service - Boothbay Region Water District

Step 1 of 3

Facebook

This field is for validation purposes and should be left unchanged.

Please Choose a Form*

Billing Agreement

FOR TURN WATER ON FOR A STRUCTURE WHICH HAS PREVIOUSLY HAD WATER SERVICE.

>>>PLEASE READ<<< If you are requesting service for BRAND NEW WATER HOOK-UP which has never had water service in the past, please change your selection to "New Service Application - New Water Hook-Up Needed".

New Service Application

FOR NEW WATER HOOK-UP THAT HAS NEVER HAD WATER SERVICE.

>>>PLEASE READ<<< If you are requesting service for a STRUCTURE WHICH HAS HAD WATER SERVICE in the past, please change your selection to "Billing Agreement - Structure Has Had Prior Water Service"

Application Date*

Account Number

Property (Service) Location*

Street Address City State ZIP Code

Map

Lot

Water Usage

Please specify if this property is used for personal, business, or government purposes.

This is for Maine State Bureau of Taxation. All water used for business purposes is taxable.

Type of Service*

Residential

Commercial

Government

Annual or Seasonal?*

ANNUAL: Year round water service at the same premises. (Quarterly Billing)

SEASONAL*: Includes intermittent use, season after season, at the same premises. (Seasonal Billing)

*Where available

Previous Owner of this Location*

Applicant Name*

First Last

Applicant Phone Number*

Applicant Name

First Last

Applicant Phone Number

Co-Applicant Name (if applicable)

First Last

Co-Applicant Phone Number

Business or Government Name

Business/Gov't Phone Number

Business or Government Name*

Business/Gov't Phone Number*

Applicant Email*

Applicant Date of Birth*

Applicant Date of Birth

Applicant Mailing Address*

Same as Property (Service) Location

Street Address Suite / Apt. / P.O. Box City State ZIP Code

Apply for
Water Service

Customer Service

Download
PDF Versions

Existing Structures

New Constuction

Billing Agreement

FOR TURN WATER ON FOR A STRUCTURE WHICH HAS PREVIOUSLY HAD WATER SERVICE.

New Service Application

FOR NEW WATER HOOK-UP THAT HAS NEVER HAD WATER SERVICE.

Water Usage

Please specify if this property is used for personal, business, or government purposes.

Credit History

Residential

Commercial

Government

Common Questions

AGREEMENT TO PAY / TERMS AND CONDITIONS

Equal Opportunity Program

Civil Rights Information Collection for USDA Financed Organizations

Customer Service

Download PDF Versions

Existing Structures

New Constuction

Billing Agreement

FOR TURN WATER ON FOR A STRUCTURE WHICH HAS PREVIOUSLY HAD WATER SERVICE.

New Service Application

FOR NEW WATER HOOK-UP THAT HAS NEVER HAD WATER SERVICE.

Water Usage

Please specify if this property is used for personal, business, or government purposes.

Credit History

Residential

Commercial

Government

Common Questions

AGREEMENT TO PAY / TERMS AND CONDITIONS

Equal Opportunity Program

Civil Rights Information Collection for USDA Financed Organizations

Download
PDF Versions