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2. Notified

   Check if submitter was notified of receipt

   1. Notified
3. Completed By
   -- Select One --Lauren KarpinskiJessica IcolariToni-Ann IcolariKevin AlvesNathan 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
21. Final Reading House #:*
22. Final Reading Street Name:*
    -- Select One --Adams CourtAfton DriveAlcott DriveAllwood TerraceAlpine WayAmbrosia CourtAmelia AvenueAmherst PlaceApple Tree CourtArbor CourtArden RoadArgyle CourtArlington DriveArrow DriveArthur TerraceNorth Ashby AvenueSouth Ashby AvenueAshwood DriveAspen DriveAudobon RoadAvon AvenueBadger DriveBaker RoadBaldwin TerraceBalmoral DriveNorth Baums CourtSouth Baums CourtBeacon AvenueBeacon PlaceBear Brook CourtBear Brook LaneBeaufort AvenueBellacourt PlaceBelmont DriveBelvedere DriveBennington RoadBeresford LaneBerkeley PlaceBerkeley RoadBerkeley TerraceBerkshire RoadBeverly RoadBillingsley DriveBinghampton LaneBirch Tree LaneBirchwood DriveBlackstone DriveBonnyview DriveBorden PlaceBoulderwood DriveBowling DriveBoynton DriveBraeburn CourtBrandon AvenueBrayton RoadBrentwood DriveBreton PlaceBriar Cliff RoadBriggs CircleBrighton CourtBristol CourtBroadlawn DriveBroadlawn PlaceBrookside AvenueBrookside PlaceBrown CourtBrowning DriveBryant DriveBunyan DriveBurgandy CourtBurgandy DriveBurlington RoadBurnet StreetBurnet Hill RoadBushkill DriveByron PlaceCambridge RoadCamelot DriveCanoe Brook DriveCanterbury RoadCarillon CircleCarlisle DriveCarteret RoadCase TerraceCedar Gate CourtCedar Gate DriveCedar StreetNorth Cedar ParkwaySouth Cedar ParkwayEast Cedar StreetWest Cedar StreetCedar TerraceCentennial RoadChadwick RoadChampion BoulevardCharles StreetChaucer CourtChelsea DriveCherry Hill RoadChestnut StreetChetwynd TerraceCIT DriveClaremont AvenueCliffside DriveClover LaneCobblewood RoadCoddington TerraceCollins TerraceCollinwood AvenueColonial WayColumbia RoadConcord DriveCongressional ParkwayConsul RoadCornell DriveCornerstone WayCortland CourtCottage TerraceCountry Club CourtCountry Club RoadCountryside DriveCoventry RoadCreighton DriveCrescent RoadCrest TerraceCrestview Hill RoadCrossbrook PlaceCrossbrook RoadCrown CourtCulver RoadCyprus LaneDana DriveDarby TerraceDartmouth CourtDaven AvenueDawson TerraceDeal LaneDeerfield RoadDellmead DriveDemarest RoadDevonshire RoadDickinson LaneDisney PlaceDogwood TerraceDominion CourtDorothy AvenueDorrien RoadDorsa AvenueDougal AvenueDowning PlaceDriftwood DriveDrummond TerraceEast DriveEastbrook TerraceEdgemere RoadEdmonton CourtEisenhower ParkwayElizabeth AvenueElkin DriveElmwood CourtElmwood DriveEly CourtEmerson DriveEmpire DriveEndor WayEsplanade WayEssex CourtEton RoadEvergreen AvenueExecutive ParkwayFairfax DriveFalcon CourtFalcon RoadFawn DriveFellswood DriveFernwood RoadFieldstone DriveFilmore AvenueForce Hill RoadFordham PlaceFordham RoadForest StreetFoxcroft DriveFranklin AvenueFranklin PlaceFredon DriveFullerton PlaceGable WalkGala CourtGarnet TerraceGiacomo CourtGlannon RoadGlendale AvenueGoodhart DriveGorham AvenueGrand TerraceGrasmereCourtGraymoor RoadGreenwood CourtGrove TerraceHadrian DriveHamilton LaneHampton TerraceHaralson CourtHarding PlaceEast Harrison PlaceWest Harrison PlaceHarvard LaneHarvard PlaceHarvest LaneHastings LaneHavenwood DriveHawthorne DriveHazel AvenueHazelwood AvenueHearthstone TerraceHeather LaneHemlock RoadHemshire DriveHepworth StreetHerbert TerraceHeron RoadHickory PlaceHighland DriveHighview DriveHill StreetHillary CourtHillside AvenueNorth Hillside AvenueHillside TerraceEast Hobart Gap RoadWest Hobart Gap RoadHobson DriveHomestead TerraceHuntington RoadIndustrial ParkwayIntervale RoadIroquois DriveIrving AvenueJackson DriveJason LaneJefferson CourtJohn F Kennedy ParkwayKathay DriveKean CourtKearney TerraceKensington LaneKeyes RoadKeystone DriveKimball AvenueKingston DriveKinkead DriveKnollwood DriveKredel AvenueLafayette DriveLangtree DriveLargo LaneLarkspur PlaceLaurel AvenueLee RoadLenape RoadLexington DriveLincoln AvenueNorth Livingston AvenueSouth Livingston AvenueLockhern CourtLockhern DriveLocust PlaceLongacre DriveLongview RoadMacintosh CourtMacopin CourtMacopin DriveMadison CourtMadonna DriveManor RoadMansfield CourtMaple AvenueMaplewood DriveMarberne TerraceMarisa CourtMarlo RoadMartin RoadMayhew DriveMcCall AvenueEast McClellan AvenueWest McClellan AvenueMeadowbrook RoadMellon PlaceMelrose DriveMerian WayMichele LaneMicrolab RoadMidway DriveMillbrook CourtMillstone DriveNorth Mitchell AvenueSouth Mitchell AvenueMohawk DriveMonmouth CourtMontgomery RoadMorningside DriveMorton RoadMountain Ridge DriveMounthaven DriveEast Mount Pleasant AvenueWest Mount Pleasant AvenueMount Pleasant ParkwayMount Vernon ParkwayMurray CourtNaylon AvenueNaylon PlaceNorman CourtNorth DriveNorth Ridge RoadNorthfield CourtEast Northfield RoadWest Northfield RoadNotch Hill DriveNottingham RoadOak StreetOak Tree LaneOakmont CourtOakwood AvenueWest Oakwood AvenueOld Mount Pleasant AvenueOld RoadOld Short Hills RoadOrchard LaneOskar CourtOverlook RoadOxford DrivePage PlacePalmer DrivePark DriveParsonage Hill RoadPassaic AvenuePeachtree Hill RoadPebble Beach DrivePenny RoadPenwood RoadPine Valley RoadPitcairn RoadPittsfield CourtPlymouth DrivePointe Gate DrivePost LanePreston DrivePrinceton RoadProspect RoadPutnam RoadRainbow Ridge DriveRale TerraceRedwood RoadRegal BoulevardRelkin RoadRidge DriveRidgewood DriveRiker Hill RoadRobert Harp DriveRobin AvenueRockhill DriveRockledge DriveNorth Rockledge DriveRoosevelt TerraceRosedale TerraceRosewood CourtRoss RoadRossmore TerraceRoyal AvenueRumson RoadRutgers RoadSalem PlaceSandalwood DriveScarsdale DriveSchindler WayScotland DriveScott TerraceSeymour Schram LaneShadowlawn DriveSheffield CourtSherbrooke ParkwayEast Sherbrooke ParkwaySheridan RoadSherwood CourtShrewsbury DriveSidehill CourtSouth Orange AvenueSpalding DriveSparrow DriveSpier DriveSplit Rock RoadSpring RoadSpringbrook PlaceSpringbrook RoadSquier CourtSterling DriveStokes TerraceStoneham DriveStonehedge DriveStonewall DriveStony Hill PlaceStratford DriveSunset RoadSunshine LaneSurrey LaneSutton WaySwan RoadSycamore AvenueSycamore TerraceSykes AvenueSylvan CourtSymington AvenueTabor CourtTaconic RoadTaft CourtTamarack RoadTanger DriveTanglewood DriveTarlton DriveTemplar WayTerry TerraceThames DriveThurston DriveTiffany DriveTilden CourtTimber Hill DriveTorrance DriveTower RoadTown Center WayTrafalgar DriveTremont TerraceTrinity DriveTrocha AvenueTrombley DriveTroy DriveTudor TerraceTulane DriveTulip CourtTurlington CourtTuscan RoadTuxedo DriveTwilight CourtTwin Oak RoadValley View CourtVanderbilt DriveVentnor PlaceVere TerraceVictor AvenueVillage DriveVine StreetVirginia AvenueVista TerraceVolker LaneVolunteer WayWahler RoadWalnut StreetWalton LaneWardell RoadWashington CourtWayside PlaceWellington RoadWest DriveWest Lawn RoadWestgate RoadNorth Westgate RoadWestminster DriveWestmount DriveWhite Oak DriveWhittier WayWildwood AvenueWillow LaneWilshire DriveWilson TerraceWinans RoadWinchester RoadWindermere CourtWindsor CourtWingate DriveWinged Foot DriveWinston DriveWoodcrest DriveWoodland TerraceWychwood RoadWynnewood RoadYale CourtYorktown TerraceZahn Terrace

    Tip: Begin typing street name to filter list

23. Rental Property*

    1. No

    1. Yes

    Check if Rental Property
25. Name (Current Owner or Landlord):*
26. Name (Tenant):*
27. Owner/Landlord Address:
    If different than final reading address
29. Block (if known):
30. Lot (if known):
31. Account # (if known):
32. Phone Number:*
34. Email:*
35. Forwarding Address for Final Bill:*
36. Fax Number for Final Bill:
40. Final Reading Date & New Owner/Tenant Information
    (final reading will not be done without new name)
42. Reading Request Date*
    Reading Request Date
    (must be before closing date)
43. Closing Date:*
    Closing Date:
44. Own or Tenant*

    1. New Owner

    1. New Tenant
46. New Account Holder Name:*
47. New Phone Number:*
48. New Email:*
    If unavaible put N/A
50. Notes (for any special circumstances):
52. NOTE:

    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.

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

    This field is not part of the form submission.

58. Submit Submit and Print

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