Tenant Authorization Form Fairfax PDF Details

Navigating the responsibilities of property rental and water service initiation in Fairfax, VA, can seem daunting for both landlords and tenants, but the Tenant Authorization Fairfax form is designed to simplify this process. Located within the bustling activities of Fairfax's Customer Service Department, this essential form serves as a bridge between property owners (or their authorized agents) and tenants aiming to establish water service under their own names. The process outlined by this form not only ensures a smooth transition of billing responsibilities but also embeds safeguards for property owners by confirming that any liabilities, following reasonable collection efforts from the tenant, fall back on them. Key elements of the form include the necessity for full and accurate tenant information, a lien offset payment from the tenant, which gets applied to the final bill upon service termination, and specific instructions for submission a minimum of four hours before required processing time during business hours. The piece also highlights an understanding for tenants under financial strain, offering a waiver for the lien offset payment upon submission of documentation proving the receipt of need-based rental assistance. In signing this form, the property owner or authorized agent agrees to the detailed terms, ensuring that the service initiation process is clear, reliable, and fair for all parties involved. For a comprehensive grasp, it directs users to Fairfax Water's website for additional information or to make a one-time payment. Updated in early 2019, this document encapsulates a streamlined approach to managing water service transitions in rental situations, emphasizing accuracy, transparency, and accountability.

QuestionAnswer
Form NameTenant Authorization Form Fairfax
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfairfax authorization, fairfax water authorization form, virginia water authorization, fairfax water tenant authorization

Form Preview Example

CUSTOMER SERVICE DEPARTMENT

8570 EXECUTIVE PARK AVENUE FAIRFAX, VA 22031 www.fairfaxwater.org

TENANT AUTHORIZATION FORM

Please return COMPLETED form to:

TENANTFORM@FAIRFAXWATER.ORG

Please allow us at least 4 hours, after submission, on a business day, to process your form.

Fax: (703)466-6863

Phone: (703)698-5800

The following information must be completed in full and signed by the legally recorded property owner or authorized agent to establish new service. *If this form is altered it will not be accepted and will cause delays with processing and your tenant starting service. After submission of this form, the new tenant MUST call our Customer Service department to establish service during our normal business hours Monday-Friday between 8:00am and 4:30pm and for further instruction on how to make the Lien Offset payment.

All tenants are required to pay $190 (Lien Offset payment) prior to the service start date. This payment will be applied to the final bill once the tenant has notified Fairfax Water to disconnect service.

Service Address _________________________________________ Service Start Date __________________________

The following tenant(s) have entered into a lease agreement for the referenced service address and is/are authorized to obtain services from Fairfax Water at this address as my tenant(s).

Tenant Information - Please print the first and last name of each tenant (over age 18) on the lease agreement.

_________________________________________

_________________________________________

_________________________________________

_________________________________________

Contact Information

 

Phone ___________________________________

Email _______________________________________

Lien Offset may be waived for tenants who receive need based local, state, or federal rental assistance. If your tenant receives rental assistance, please provide documentation with this form.

Property Owner Information - Please provide first and last name, mailing address (different from the service address), and contact information.

Property Owner or Authorized Agent ___________________________________________

Address _________________________________________________________________

Phone ___________________________________

Email _______________________________________

By signing this form, I acknowledge, as the owner or authorized agent of the service address listed above, I am responsible for any unpaid balance for this account, after Fairfax Water has made a reasonable effort to collect from the aforementioned tenant(s). If signing as an agent, he/she is authorized to endorse this document, on behalf of the owner.

Signature _________________________________________

Date _________________

Property Owner or Authorized Agent

 

For more information, visit fairfaxwater.org. For one-time payment, visit FWcustomer.org.

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

 

 

Office Use Only

 

 

 

Lien Offset Received

Cash

Check

Portal

Speedpay

Lien Offset Waived

Amount Received $____________ Account Number ___________________

Received By ___________________

(Updated 2/26/2019)

How to Edit Tenant Authorization Form Fairfax Online for Free

The purpose supporting our PDF editor was to make it as simple to use as possible. The general process of completing va water tenant authorization easy as soon as you keep to the next actions.

Step 1: On this page, select the orange "Get form now" button.

Step 2: Now, you are on the form editing page. You can add information, edit present details, highlight certain words or phrases, put crosses or checks, add images, sign the form, erase needless fields, etc.

Provide the required details in every segment to fill out the PDF va water tenant authorization

fairfax county water tenant authorization form spaces to consider

In the segment Property Owner or Authorized Agent, Address, Phone, Email, By signing this form I acknowledge, Signature Property Owner or, Date, For more information visit, Lien Offset Received, Cash, Check, Portal, Speedpay, Lien Offset Waived, and Amount Received Account Number provide the particulars which the program requests you to do.

part 2 to completing fairfax county water tenant authorization form

Step 3: At the time you pick the Done button, the ready document is simply exportable to each of your devices. Or, you can send it through mail.

Step 4: Prepare a duplicate of each single form. It could save you some time and make it easier to stay clear of issues in the future. By the way, your information is not shared or viewed by us.

Watch Tenant Authorization Form Fairfax Video Instruction

Please rate Tenant Authorization Form Fairfax

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .