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Final Water Reading Request Form

2. Domestic Reading

3. Domestic ID #

4. Lawn Reading

5. Lawn ID #

7. Fire Meter

8. Fire ID #

9. Date Completed
   Date Completed

10. Completed By
    -- Select One --Carole SelittoJessica IcolariToni-Ann IcolariNathan Kiracofe

12. Small Flow Reading

13. Small Flow ID

14. Large Flow Reading

15. Large Flow ID

17. Billed

    Select if Billed by Finance

    1. Billed
18. Comments

22. Final Reading Address:*

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

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)

    (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:

50. PLEASE SUBMIT THE FORM AT LEAST 24 HOURS IN ADVANCE TO SCHEDULE A FINAL WATER READING. SAME DAY FINAL READINGS CANNOT BE PERFORMED.

52. TO SEE THE STATUS OF YOUR BILL AFTER CLOSING DATE CALL 973-992-5000, OPTION 2

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit Submit and Print

* indicates a required field