Bethalto, IL · Madison County

No notary required

Temporary Water Service Application

Property owners or their designees submit this application to request temporary water service for cleaning or remodeling at a Bethalto property.

What this form is

This application requests temporary water service to facilitate general cleaning or remodeling at the listed property; it is not a building or occupancy permit. The form asks for the property address, owner or designee information, contact details, and whether the property is owner-occupied, tenant-occupied, or listed for sale. Temporary service is valid for 90 days, with a possible additional 90-day extension.

Who needs it

A property owner or their designee seeking temporary water service for cleaning or remodeling at a Bethalto property needs this application.

How to submit it

Present the application to the Bethalto Water Department. The form does not provide a submission address, email, portal, or fee information.

About notarization

This document is signed and dated without a notary; a designee must show proof of ID and documentation of being the owner's designee.

How to submit this form

  1. 1

    Download The Application

    Download the Temporary Water Service Application PDF.

  2. 2

    Complete The Application

    Provide the property address, owner or designee details, contact information, and property occupancy status; then sign and date it.

  3. 3

    Gather Designee Documentation

    If applying as the owner's designee, bring proof of ID and documentation showing you are the designee.

  4. 4

    Present It To The Water Department

    Present the application to the Bethalto Water Department.

Frequently asked questions

Do I need a notary for the Temporary Water Service Application?
No. The application is signed and dated without a notary; a designee must show proof of ID and documentation that they are the owner's designee.
How do I submit the Temporary Water Service Application?
Present the application to the Bethalto Water Department. The form does not list an address, email, portal, or fee.
How long is temporary water service valid?
The form says the temporary permit is valid for 90 days. The property owner may obtain an additional 90-day extension if cleaning, maintenance, and repairs cannot be completed in that time.
Is this a building or occupancy permit?
No. The document states that it is not a building permit or an occupancy permit.

Need something notarized?

This Temporary Water Service Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.