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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. Comm. Small Flow Reading

10. Comm. Small Flow ID #

12. Comm. Large Flow Reading

13. Comm. Large Flow ID #

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

15. Date Completed
    Date Completed

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. Notes (for any special circumstances):

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

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

Leave This Blank:


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

* indicates a required field