Noble, IL · Richland County

No notary required

Cross-Connection Water Customer Survey

Noble water customers complete this survey to provide information about their service address, plumbing, water use, and possible cross-connections.

What this form is

The Village of Noble uses this survey to identify possible cross-connections that could contaminate the water supply. It asks about water service, business and household water use, wells or cisterns, backflow devices, plumbing materials, and other systems. The accompanying letter says the survey is sent every two years and asks customers to return it by May 30, 2025.

Who needs it

Noble water customers should complete the survey with information about their service address and plumbing systems.

How to submit it

Return it to Noble Village Hall, P.O. Box 278, Noble, Illinois, 62868; the letter also says you can drop it off at the Village Hall office or use its drop box.

About notarization

This document is signed without a notary; the customer signs and dates the survey, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Survey

    Download the Noble Cross-Connection Water Customer Survey PDF.

  2. 2

    Complete The Survey

    Enter your service address, answer the water-use and plumbing questions, and provide your name, date, and signature.

  3. 3

    Check For Attachments

    The document does not list any required attachments.

  4. 4

    Submit To Noble Village Hall

    Return the survey by mail, drop it off at the Village Hall office, or use the Village Hall drop box.

Frequently asked questions

What does the Noble water customer survey ask about?
It asks about your service type, water use, plumbing, wells or cisterns, backflow prevention devices, pools, and other systems that could relate to cross-connections.
How do I submit the Noble water customer survey?
Return it to Noble Village Hall, P.O. Box 278, Noble, Illinois, 62868. The letter also says you may drop it off at the Village Hall office or put it in the drop box.
Do I need a notary for the Noble water customer survey?
No. The survey is signed and dated by the customer without a notary, and the document does not mention a notarized or sworn attachment.

Need something notarized?

This Cross-Connection Water Customer Survey doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.