Brawley, CA · Imperial County

No notary required

Owner-Tenant Water Services Authorization

Brawley property owners use this authorization to allow a tenant to pay water, sewer, and trash service charges for an account address.

What this form is

This form notifies the City of Brawley that an owner authorizes a tenant to pay water, sewer, and trash service charges. It asks for the start date, account address, tenant and owner names, owner mailing address and phone number, and the owner's signature. The owner’s signature also makes the owner a guarantor of payment if charges are not paid.

Who needs it

A property owner who wants a tenant to pay water, sewer, and trash service charges for an account address needs this authorization.

How to submit it

The form identifies the City of Brawley Utility Department at 400 Main Street, Brawley, CA 92227. It lists the department’s phone and fax numbers but does not specify a submission method.

About notarization

This document is signed without a notary; the owner signs and dates the authorization, with no notarized or sworn attachment identified.

How to submit this form

  1. 1

    Download The Form

    Download the Owner-Tenant Water Services Authorization PDF.

  2. 2

    Complete The Form

    Enter the start date, account address, tenant and owner names, and the owner’s mailing address and phone number.

  3. 3

    Sign And Date

    The owner signs and dates the authorization.

  4. 4

    Send It To The Utility Department

    The form lists the City of Brawley Utility Department at 400 Main Street, Brawley, CA 92227; it does not specify a submission method.

Frequently asked questions

What does the Owner-Tenant Water Services Authorization do?
It notifies the City of Brawley that an owner authorizes a tenant to pay water, sewer, and trash service charges for the account address.
What information does the form ask for?
It asks for a start date, account address, tenant and owner names, the owner’s mailing address and phone number, and the owner’s signature.
Do I need a notary for the Owner-Tenant Water Services Authorization?
No. The owner signs and dates this document without a notary; it does not identify a notarized or sworn attachment.
How do I submit the Owner-Tenant Water Services Authorization?
The form lists the City of Brawley Utility Department at 400 Main Street, Brawley, CA 92227, but does not specify a submission method.

Need something notarized?

This Owner-Tenant Water Services Authorization doesn’t need a notary — but if you have another Brawley form that does, a commissioned online notary can help.