Do I need a notary for the Application for Piped Water Connection?

No. The application asks the property owner to sign and date it, but it has no notary block. The attached Town Code fee excerpt is not identified as a sworn or notarized document.

How do I submit the water connection application?

The form says to make a written request to the Town Manager using a Town-provided form. It lists the Town of Jerome mailing address as Post Office Box 335, Jerome, Arizona 86331.

What information does the application ask for?

It asks for the property owner’s name, physical and mailing addresses, phone numbers, parcel number, intended use of the water, and type of hookup.

What fees are listed with the application?

The attached Town Code excerpt lists hookup fees by use category. It also says materials, equipment, labor, and the water meter are charged in addition to the listed hookup fees.

Jerome, AZ · Yavapai County

No notary required

Application for Piped Water Connection

Property owners use this application to request a piped water connection from the Town of Jerome and provide property, contact, and intended-use information.

What this form is

The Town of Jerome uses this application for written requests by property owners for water hookups. It asks for the owner’s name and contact details, property address and parcel number, intended water use, and hookup type, and includes a Town Code excerpt listing hookup fees and additional connection costs. The applicant certifies the information is true and complete and agrees to report changes in intended use.

Who needs it

A property owner seeking a piped water hookup from the Town of Jerome needs to complete and sign this application.

How to submit it

The form says water hookup requests must be made in writing to the Town Manager using Town-provided forms. Mail it to Town of Jerome, Post Office Box 335, Jerome, Arizona 86331.

About notarization

This application is signed and dated without a notary; it includes a Town Code fee excerpt, but no sworn or notarized attachment.

How to submit this form

1
Download The Application
Download the fillable Application for Piped Water Connection PDF.
2
Complete The Form
Enter the property owner’s contact and property details, intended water use, and hookup type.
3
Review The Fee Excerpt
Review the attached Town Code excerpt for hookup fees and additional connection costs.
4
Sign And Submit
Sign and date the application, then send the written request to the Town Manager at the Town’s listed Post Office Box.

Frequently asked questions

Do I need a notary for the Application for Piped Water Connection?: No. The application asks the property owner to sign and date it, but it has no notary block. The attached Town Code fee excerpt is not identified as a sworn or notarized document.
How do I submit the water connection application?: The form says to make a written request to the Town Manager using a Town-provided form. It lists the Town of Jerome mailing address as Post Office Box 335, Jerome, Arizona 86331.
What information does the application ask for?: It asks for the property owner’s name, physical and mailing addresses, phone numbers, parcel number, intended use of the water, and type of hookup.
What fees are listed with the application?: The attached Town Code excerpt lists hookup fees by use category. It also says materials, equipment, labor, and the water meter are charged in addition to the listed hookup fees.

Need something notarized?

This Application for Piped Water Connection doesn’t need a notary — but if you have another Jerome form that does, a commissioned online notary can help.