Montvale, MT · Bergen County

No notary required

BCUA Connection Application

This application is for people seeking to connect to the sewer or change the operation of an existing connection, with project and property details.

What this form is

The Bergen County Utilities Authority Connection Program Project Referral is for anyone seeking to connect to the sewer or change the operation of an existing connection. The form requests applicant and owner contact information, project address and description, block and lot, and existing and proposed property or use details. It also includes fields for municipal and BCUA review.

Who needs it

Anyone seeking to connect to the sewer or change the operation of an existing connection must complete this form.

How to submit it

Complete the form in its entirety and fax it to BCUA at (201) 807-8640. For assistance, contact Nina Soto at (201) 807-8677 or the listed inspector.

About notarization

This form is completed without a notary; it lists a municipal signature and certification, with no notarized attachment or related step stated.

How to submit this form

  1. 1

    Download The Application

    Download the BCUA Connection Application PDF.

  2. 2

    Complete The Form

    Complete the form in its entirety, providing applicant, owner, project, and existing and proposed property or use information.

  3. 3

    Fax The Application

    Fax the completed form to BCUA at (201) 807-8640.

Frequently asked questions

Who must complete the BCUA Connection Application?
Anyone seeking to connect to the sewer or change the operation of an existing connection must complete the form in its entirety.
What information does the application request?
It requests applicant and owner contact information, project details, block and lot, and existing and proposed property or use information.
How do I submit the BCUA Connection Application?
Complete the form in its entirety and fax it to BCUA at (201) 807-8640. For assistance, contact Nina Soto at (201) 807-8677 or the listed inspector.
Do I need a notary for the BCUA Connection Application?
No. The form has no notary block; it lists a municipal signature and certification, with no notarized attachment or related step stated.

Need something notarized?

This BCUA Connection Application doesn’t need a notary — but if you have another Montvale form that does, a commissioned online notary can help.