Form Center

Final Water Reading Request Form

2. Notified

   Check if submitter was notified of receipt

   1. Notified
3. Completed By
   -- Select One --Kevin AlvesJessica IcolariToni-Ann IcolariNathan Kiracofe

4. Date Completed
   Date Completed

5. Billed

   Check if Billed by Finance

   1. Billed
7. Domestic Reading

8. Domestic ID #

9. Lawn Reading

10. Lawn ID #

12. Fire Meter

13. Fire ID #

14. Comm. Small Flow Reading

15. Comm. Small Flow ID #

17. Comm. Large Flow Reading

18. Comm. Large Flow ID #

19. Comments

23. Final Reading Address:*

    (Street Address Only, Town and Zip Code not required)

24. Rental Property*

    1. No

    1. Yes

    Check if Rental Property

26. Name (Current Owner or Landlord):*

27. Name (Tenant):*

28. Owner/Landlord Address

    If different than final reading address

30. Block (if known):

31. Lot (if known):

32. Account # (if known):

33. Phone Number:*

35. Email:*

36. Forwarding Address for Final Bill*

37. Fax Number for Final Bill:

41. Final Reading Date & New Owner/Tenant Information
    (final reading will not be done without new name)

    (final reading will not be done without new name)

43. Reading Request Date*
    Reading Request Date

    (must be before closing date)

44. Closing Date:*
    Closing Date:

45. Own or Tenant*

    1. New Owner

    1. New Tenant

47. New Account Holder Name:*

48. New Phone Number:*

49. New Email:*

    If unavaible put N/A

51. Notes (for any special circumstances):

53. PLEASE SUBMIT THE FORM AT LEAST 24 HOURS IN ADVANCE TO SCHEDULE A FINAL WATER READING. SAME DAY FINAL READINGS CANNOT BE PERFORMED. TO SEE THE STATUS OF YOUR BILL AFTER CLOSING DATE CALL 973-992-5000, OPTION 2

    PLEASE SUBMIT THE FORM AT LEAST 24 HOURS IN ADVANCE TO SCHEDULE A FINAL WATER READING. SAME DAY FINAL READINGS CANNOT BE PERFORMED. TO SEE THE STATUS OF YOUR BILL AFTER CLOSING DATE CALL 973-992-5000, OPTION 2

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit Submit and Print

* indicates a required field