Application for Water/Sewer/Trash Service

Instructions

Completely fill out all of the forms in the download and mail the original, fully notarized forms to the address below: Fax and email submissions will not be accepted.

Alliance Water Utility
504 E Main Street
Alliance, OH 44601

Instructions for Application for Water/Sewer/Trash Service are as follows: 

The following documents are required to be included with your submission for your application to be processed:

  1. If you have just purchased the property, we require a copy of the closing disclosure which states your name as the new owner and the address purchased.
  2. A copy of owner's drivers license.
  3. A copy of tenant/lessee drivers license, if applicable.
  4. Application for Water/Sewer/Trash Service (PDF): (3 pages - must be signed and notarized)
    • Please note that the Application for Water/Sewer/Trash Service must be signed and notarized before returning it to our office.
    • If you intend on renting this property, both the top section and bottom section of the application must be signed and notarized by the owner to allow the tenant/lessee to receive the bill directly.
      • The tenant/lessee portion must be signed and notarized in order to complete the application.
  5. Backflow Prevention Determination and 30-Day Installation Notice (PDF):(1 document)
    • Please answer the questions, to the best of your knowledge, concerning the property service address.
    • Sign and return 1 copy of the questionnaire with the Application for Water/Sewer/Trash Service.
    • Please review the List of Approved Backflow Testers.
  6. Conditions Governing Water/Sewer/Trash Service:(1 document)
    • One copy of the Conditions Governing Water/Sewer/Trash Service needs to be signed and returned to our office with the Application for Water/Sewer/Trash Service.
    • Please retain a copy of the Conditions Governing Water/Sewer/Trash Service for your records.

Copy of Instructions (PDF) for your records.

If you have any questions, please do not hesitate to give us a call. Our office phone number is 330-823-3126.