Riverdale, IL · Cook County

Affidavit to Disconnect Water Service

This affidavit records an owner’s or representative’s request to disconnect water service at a Riverdale property and is submitted to the Village of Riverdale.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The affidavit states that the owner or representative accepts responsibility for costs and possible property damage related to the requested disconnection, and describes the fees for disconnection and reconnection. The Village form says water is disconnected after payment of the $110 fee; restoring service requires another $110 fee, payment of outstanding property debt, and an advance appointment with Public Works. If a tenant occupies the property, the landlord must notify them in writing within 48 hours of termination.

Who needs it

An owner or representative requesting that the Village of Riverdale disconnect water service at a property should complete and submit this affidavit.

Why it needs a notary

The form has a “Signed and acknowledged before me” acknowledgment block; the owner or representative named in the affidavit signs before the notary.

How to get this notarized

  1. 1

    Download The Affidavit

    Get the Affidavit to Disconnect Water Service from the Village of Riverdale.

  2. 2

    Fill In The Affidavit

    Enter the property address and the owner or representative’s details.

  3. 3

    Book An Online Notary

    Schedule a session with a commissioned online notary for the acknowledgment.

  4. 4

    Sign On Video

    Sign the affidavit during the online notary session.

  5. 5

    Submit To The Village

    Ask the Village of Riverdale how to submit the notarized affidavit and arrange service.

Preview the form

The blank PDF straight from Riverdale. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I submit the water disconnection affidavit?
Complete the affidavit, sign it before a notary, and ask the Village of Riverdale how to submit it and arrange the disconnection.
Do I need to notify tenants about water termination?
The form says that if a tenant occupies the property, the landlord must notify the tenant in writing within 48 hours of water termination.
Can I notarize this affidavit online?
Illinois permits electronic and remote notarization by notaries commissioned in the state and recognizes acts by officers authorized where performed. A commissioned online notary can guide you through signing by video; confirm Riverdale’s requirements if unsure.
What fees does the affidavit mention?
The form lists a $110 disconnection fee and an additional $110 reconnection fee, plus any outstanding debt owed on the property.

Ready to notarize your Affidavit to Disconnect Water Service?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.