Brawley, CA · Imperial County
Water Service Application
Brawley residents and businesses use this application to request water service and provide customer, property, and contact information.
What this form is
This application collects information for starting water service, including the applicant’s name, service and mailing addresses, contact details, and whether the applicant owns the property. Non-owners must also provide the owner’s name, address, and phone number. Applicants agree to pay for water, trash, sewer services, and applicable taxes; the form describes deposit requirements for certain accounts.
Who needs it
Property owners and non-owners seeking water service for a Brawley residence or commercial establishment should complete this application.
How to submit it
Submit the application to the Utility Department at 400 Main Street, Brawley, CA 92227. The form also lists the department’s phone and fax numbers.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Water Service Application PDF.
- 2
Complete The Form
Enter applicant, property, and contact information, plus owner details if applying as a non-owner.
- 3
Review And Sign
Review the service terms, then sign and date the application.
- 4
Submit To The Utility Department
Submit the application to the Utility Department at 400 Main Street, Brawley, CA 92227.
Frequently asked questions
- What does the Water Service Application ask for?
- It asks for applicant and property details, contact information, owner information for non-owners, and the requested service start date.
- Do I need a notary for the Water Service Application?
- No. This document is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
- How do I submit the Water Service Application?
- Submit it to the Utility Department at 400 Main Street, Brawley, CA 92227. The form also lists the department’s phone and fax numbers.
Need something notarized?
This Water Service Application doesn’t need a notary — but if you have another Brawley form that does, a commissioned online notary can help.