Columbia, IL · Monroe County
Water Service Application
Contractors or owners use this application to request new water service or a service upgrade at a Columbia connection address.
What this form is
The Water Service Application requests City water service for a specified connection address, with the applicant choosing new service or a service upgrade. It asks for applicant and contractor or owner contact details, the subdivision and lot, plumber and license information, service line type, and meter size. The form also states payment responsibilities and asks for an acceptance signature and date.
Who needs it
A contractor or owner applying for new City water service or a service upgrade at a Columbia connection address should complete this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form lists City of Columbia, 208 S. Rapp Ave., Columbia, IL 62236, and 618.281.7144 x 105.
About notarization
This application is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Water Service Application PDF.
- 2
Complete The Application
Provide the requested applicant, connection-address, contractor or owner, and plumber details; select the service type, line type, and meter size.
- 3
Gather Attachments
The document does not identify any required attachments.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who should complete the Water Service Application?
- The application is for a contractor or owner requesting City water service. It asks for applicant, contractor or owner, plumber, and connection-address details.
- What information does the application ask for?
- It asks for the connection address, subdivision and lot, contact information, plumber and license number, service type, water service line choice, and meter size.
- Do I need a notary for the Water Service Application?
- No. This application is signed and dated without a notary, and it identifies no notarized or sworn attachment.
- How do I submit the Water Service Application?
- Submit it to the city department named on the form and check the city website for current contact details. The form lists City of Columbia, 208 S. Rapp Ave., and a phone number.
Need something notarized?
This Water Service Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.