Eureka, CA · Humboldt County

No notary required

Application for Water and Sewer

This application requests water and sewer service and is completed by applicants seeking service at a property in Eureka.

What this form is

Use this application to request water and sewer service at a service address. It asks for applicant contact and identification details, the property mailing address, and—if applicable—business information; applicants also indicate whether they are an owner, tenant, or landlord. The form includes service-start information and requires applicant signatures acknowledging responsibility for closed valves and billing.

Who needs it

Applicants requesting water and sewer service in Eureka should complete the form and provide the requested applicant, service address, and contact information.

How to submit it

Submit it to the City of Eureka Finance Department, listed at 531 K Street, Eureka, CA 95501; the form also lists (707) 441-4267.

About notarization

This application is signed and dated without a notary; it identifies no attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the City of Eureka Application for Water and Sewer PDF.

  2. 2

    Complete The Form

    Print clearly and fill in the service address, applicant details, and applicable business and account information.

  3. 3

    Review Supporting Materials

    Check the form for any additional materials needed; it does not list attachments.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the City of Eureka Finance Department at the address shown on the form.

Frequently asked questions

Do I need a notary for the Application for Water and Sewer?
No. The application has signature and date fields but no notary block; it identifies no attachment or related step that must be notarized or sworn.
How do I submit the Application for Water and Sewer?
The form lists the City of Eureka Finance Department at 531 K Street, Eureka, CA 95501, and provides the phone number (707) 441-4267.
What information does the application ask for?
It asks for the service and mailing addresses, applicant contact and identification details, and applicable business information. It also asks applicants to identify as an owner, tenant, or landlord.

Need something notarized?

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