Athens, IL · Menard County

No notary required

Lead Line Replacement Form

Athens water customers use this form to report their service line material and home construction year for the city’s water service line inventory.

What this form is

The Athens Water Department requests this information to help update its inventory of water service line materials. The form asks for the customer’s name and address, the year the home was built, and whether the service line is lead, galvanized steel, copper, or plastic. It also includes instructions for locating and identifying the service line.

Who needs it

Athens water customers whose structures are connected to the distribution system are asked to identify their service line material and return the form.

How to submit it

Complete the form and return it to Village Hall. For questions about the inventory, the form lists 217-636-8429.

About notarization

No notary is required; the form asks for identifying information, not a signature, and mentions no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Athens Lead Line Replacement Form.

  2. 2

    Identify Your Service Line

    Follow the form’s instructions to locate the service line and identify its material.

  3. 3

    Complete The Form

    Provide your name, address, home construction year, and service line material.

  4. 4

    Return The Form

    Return the completed form to Village Hall.

Frequently asked questions

What information does the Lead Line Replacement Form request?
It requests your name, address, the year your home was built, and whether your service line is lead, galvanized steel, copper, or plastic.
How do I submit the Lead Line Replacement Form?
Complete the form and return it to Village Hall. For questions about the inventory, call 217-636-8429.
Do I need a notary for the Lead Line Replacement Form?
No. The form asks for identifying information, not a signature, and mentions no sworn or notarized attachment.

Need something notarized?

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