Virden, IL · Macoupin County
Water Service Application
Virden residents and businesses use this application to request water service and provide account, service-address, and responsible-party information.
What this form is
The City of Virden water service application is for people establishing service and asks for contact details, the service address, service type, move-in date, and other account information. It also includes water department rules, deposit terms for homeowners and renters, and a statement explaining the city’s collection and use of Social Security numbers.
Who needs it
Residents, businesses, and other applicants establishing water service at an address in Virden should complete this application.
How to submit it
Submit it to the city department named on the form; the form lists City Hall at 101 West Jackson Street, Virden, Illinois 62690. Check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it includes no notarized or sworn attachment, so the applicant simply signs and dates it.
How to submit this form
- 1
Download The Application
Download the Water Service Application PDF.
- 2
Complete The Application
Fill in the requested applicant, service, occupancy, and account information, then read the rules and regulations.
- 3
Review The Required Information
Gather the information requested on the form, including any details for another responsible party and credit references.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Who uses the Virden Water Service Application?
- People establishing water service in Virden use the application to provide service-address, contact, occupancy, and other account information.
- What information does the application request?
- It asks for details such as the applicant’s name, service address, phone number, move-in date, service type, responsible party, and credit references.
- Do I need a notary for the Water Service Application?
- No. The application is signed and dated without a notary, and it includes no notarized or sworn attachment.
- How do I submit the Water Service Application?
- Submit it to the city department named on the form. It lists City Hall at 101 West Jackson Street, Virden, Illinois 62690; check the city website for current contact details.