Riverdale, IL · Cook County
Water Reconnection Affidavit
Riverdale water customers use this affidavit to authorize reconnection of water service at a property and provide account and contact information.
What this form is
This affidavit lets a customer authorize the Village of Riverdale Water Department to reconnect service at a property and releases the Village from liability for water damage from leaks. It records the property address, water account number, date, customer signature, and contact number; the form lists a $220 reconnection fee and explains appointment and nonpayment reconnection conditions.
Who needs it
A customer seeking water service reconnection at a Riverdale property should complete and sign this affidavit.
How to submit it
Submit the completed affidavit to the Water Department, 157 W. 144th Street, Riverdale, IL 60827. The form lists a $220 reconnection fee and says an appointment with Public Works may be needed.
About notarization
This document is signed without a notary; the customer signs and provides a contact number, and no notarized or sworn attachment is listed.
How to submit this form
- 1
Download The Affidavit
Download the Water Reconnection Affidavit PDF.
- 2
Complete The Form
Enter the property address, water account number, and date; sign as the customer and provide a contact number.
- 3
Check Reconnection Details
Review the form’s instructions about water damage, winterized pipes, and whether an appointment with Public Works is needed.
- 4
Submit To The Water Department
Submit the affidavit to the Water Department at 157 W. 144th Street, Riverdale, IL 60827.
Frequently asked questions
- What does the Water Reconnection Affidavit authorize?
- It authorizes the Village of Riverdale Water Department to reconnect water service to the property identified on the form and includes a release related to water damage from leaks.
- Do I need a notary for the Water Reconnection Affidavit?
- No. The customer signs and provides a contact number; the document does not list a notarized or sworn attachment.
- How do I submit the Water Reconnection Affidavit?
- Submit it to the Water Department at 157 W. 144th Street, Riverdale, IL 60827. The form says an appointment with Public Works may be needed.
- What information and fee does the form list?
- The form asks for the property address, water account number, date, customer signature, and contact number. It lists a reconnection fee of $220.
Need something notarized?
This Water Reconnection Affidavit doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.