Daly City, CA · San Mateo County
Authorization to Turn on Water Service Waiver and Release of Liability
This form lets a Daly City water customer authorize service to be turned on while they are absent and accept responsibility for water damage.
What this form is
Use this waiver when you cannot be present for the water turn-on and want to authorize Daly City to start service in your absence. It asks for the account and service address, requested turn-on time and date, contact details, and account holder signatures and dates. The signer agrees to close water connections and release the city from liability for water damage; additional language applies to commercial customers.
Who needs it
A Daly City water customer who cannot be present when service is turned on and wants the city to proceed in their absence needs this form.
How to submit it
Print and sign the form, then fax it to City of Daly City – UB at (650) 991-8267.
About notarization
This document is signed without a notary; the account holder or holders sign and date it, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the Authorization to Turn on Water Service Waiver and Release of Liability.
- 2
Complete The Form
Enter the account and service details, requested turn-on time and date, and contact information.
- 3
Sign And Date
The account holder or holders sign and date the waiver.
- 4
Fax To Daly City
Fax the printed, signed form to City of Daly City – UB at (650) 991-8267.
Frequently asked questions
- What does the water service turn-on waiver authorize?
- It authorizes Daly City to turn on water service while the customer is absent and includes a waiver and release of liability for water damage.
- Do I need a notary for the water service waiver?
- No. The account holder or holders sign and date the form. It does not mention a notarized or sworn attachment.
- How do I submit the water service waiver?
- Print and sign the completed form, then fax it to City of Daly City – UB at (650) 991-8267.
- What information does the form ask for?
- It asks for the account number, service address, account holder name, day phone, email, requested turn-on time and date, and account holder signatures and dates.
Need something notarized?
This Authorization to Turn on Water Service Waiver and Release of Liability doesn’t need a notary — but if you have another Daly City form that does, a commissioned online notary can help.
