East Alton, IL · Madison County

No notary required

Water Agreement Form

East Alton residents or property occupants use this form to request water, sewer, and trash service and agree to the stated service terms.

What this form is

Use this form to request water, sewer, and trash service at an address in East Alton. It asks for the applicant’s name, phone number, service and billing addresses, signature, and driver’s license number; renters are asked for property-owner information. The form also describes billing, payment, and notice terms, and lists a $60 fee payable by cash or check when service is provided or billed on the first invoice.

Who needs it

A person requesting water, sewer, and trash service at an East Alton address should complete this form, including renters who must provide property-owner information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form says the $60 fee may be paid by cash or check when service is provided or billed on the first invoice.

About notarization

This document is signed without a notary; it asks the signer to sign and provide a driver’s license number.

How to submit this form

  1. 1

    Download The Form

    Download the East Alton Water Agreement Form PDF.

  2. 2

    Complete The Form

    Enter the requested contact and service details, sign the form, and provide a driver’s license number.

  3. 3

    Add Rental Information

    If the service address is a rental, fill in the requested property-owner name, phone number, and address.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the East Alton Water Agreement Form for?
It requests water, sewer, and trash service at an address and records the applicant’s agreement to the service and billing terms.
What information does the form ask for?
It asks for the applicant’s name, phone number, service and billing addresses, signature, and driver’s license number. Renters must also provide property-owner information.
Do I need a notary for the Water Agreement Form?
No. The document is signed without a notary; the signer just signs and provides a driver’s license number.
How do I submit the Water Agreement Form?
Submit it to the city department named on the form; check the city website for current contact details. The form lists a $60 fee payable by cash or check when service is provided or billed on the first invoice.

Need something notarized?

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