Harrisburg, IL · Saline County
Application for Service
Harrisburg residents or other applicants use this Water and Sewer Department application to request service and provide contact and billing details.
What this form is
The Harrisburg Water and Sewer Department Application for Service collects information for a service address and the person applying. Applicants provide contact details, a mailing address for the bill, and an emergency contact. By signing, the applicant accepts responsibility for water and sewer charges and agrees to follow the application’s rules and city code.
Who needs it
A person applying for water and sewer service at an address served by the Harrisburg Water and Sewer Department needs this application.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the signer just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Application for Service PDF.
- 2
Complete The Application
Enter the applicant, service address, contact, billing, and emergency contact information requested.
- 3
Sign And Date
Sign and date the application to accept its stated terms.
- 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 does the Application for Service ask for?
- It asks for the applicant’s name and contact details, the service address, a bill mailing address, and an emergency contact and phone number.
- What does signing the application mean?
- The signer accepts responsibility for water and sewer charges, acknowledges possible charges related to unpaid bills, and agrees to follow the application rules and city code.
- Do I need a notary for the Application for Service?
- No. This document is signed without a notary; the signer just signs and dates the application.
- How do I submit the Application for Service?
- Submit it to the city department named on the form; check the city website for current contact details.