Rockdale Water Resources Application Form PDF Details

In the bustling heart of Conyers, Georgia, stands Rockdale Water Resources (RWR), a cornerstone of community infrastructure, diligently facilitating the delivery of water and sewer services to the local populace. Embedded in its system of operations, the APPLICATION FOR WATER/SEWER SERVICE form emerges as a critical step for residents seeking to establish or alter their water and sewer services. Situated at 958 Milstead Avenue, with an accommodating reach via mail, fax, or in-person submissions, RWR emphasizes the need for applicants to provide a comprehensive set of details including personal information, service commencement dates, and whether the service is a transfer, alongside the decisive inclusion of a settlement statement for homeowners or a lease agreement for tenants. The form outlines a straightforward path toward obtaining essential utilities, mandating a deposit reflective of the service and meter size at the initiation of service. Notably, applicants are faced with a mandatory $50 processing fee, non-refundable, marking the outset of their service. RWR further binds applicants to an adherence to local ordinances, establishing a framework of responsibility for service payments, potential late fees, and costs associated with the repair or replacement of water services due to damages or tampering. This comprehensive document ensures applicants understand their obligations and the terms of service, thereby facilitating a seamless transition into RWR's system, while also safeguarding the utility's ability to maintain a high standard of service for all its patrons.

QuestionAnswer
Form NameRockdale Water Resources Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrockdale water bill pay, rockdale county water, rockdale water, rockdale county water resources application

Form Preview Example

RWR - Customer Service 958 Milstead Avenue Post Office Box 289 Conyers, Georgia 30012 www.rockdalecounty.org Office: 770-278-7400 Fax: 770-918-6514

COMPLETE FORM, SIGN, DATE &

RETURN TO RWR BY FAX, MAIL

OR IN PERSON

Rockdale Water Resources

APPLICATION FOR WATER/SEWER SERVICE

A copy of the settlement statement (owner) or copy of the lease agreement (tenant) is required to establish a Rockdale Water Resources (RWR) water/sewer account.

Deposit payment is due at time service is established; this is based on water and/or sewer service and meter size.

CUSTOMER NAME

CUSTOMER NUMBER

To Be Assigned by RWR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

START SERVICE ON (Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE SERVICE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETE BILLING ADDRESS

 

 

 

 

 

 

 

 

 

TRANSFER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Yes, PREVIOUS ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

"LEAVE ON" AT PREVIOUS LOCATION

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

"PLEASE DISCONNECT" ON (Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME TELEPHONE #

 

 

 

 

 

 

 

 

 

 

 

WORK TELEPHONE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY/TAX ID #

 

 

 

 

 

 

 

DRIVERS LICENSE #

 

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYERS NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYERS ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARE YOU (Check One)?

OWNER

 

RENTER

MGMNT CO.

In order for Rockdale Water Resources to accept this application, the Applicant unconditionally agrees to comply with all Rockdale Water Resources ordinances, and acknowledges responsibility for payment of service billings. This includes all late fees and other fees that may apply. The Applicant further acknowledges sole responsibility for any accrued by Rockdale Water Resources to cause replacement or repair to Applicant's water service due to damage and/or tampering. Applicant also understands that if the monthly or final bill is not paid in a timely fashion, the Applicant will be subject to collection fees. There is a non-refundable $50 processing fee due at the time service is established.

SIGNATURE

DATE

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