Ridgefield Park, MT · Bergen County
Sewer Connection Change Form
Municipalities use this form to refer a new sewer connection or a change to an existing connection to the Bergen County Utilities Authority.
What this form is
The form is for anyone seeking to connect to the sewer or change the operation of an existing connection. It collects municipality and applicant contact information, owner details when different from the applicant, and project information such as the address, block and lot, project description, and existing and proposed use. The form says it must be completed in its entirety and faxed to the Bergen County Utilities Authority.
Who needs it
Anyone seeking a new sewer connection or a change to the operation of an existing connection must complete the form.
How to submit it
Complete the form in its entirety and fax it to the Bergen County Utilities Authority at (201) 807-8640. For assistance, contact Nina Soto, Richard Andretta, or the inspector listed on the form.
About notarization
This document has no notary block; the municipal representative signs and dates the certification, and no notarized attachment or sworn step is stated.
How to submit this form
- 1
Download The Form
Download the Sewer Connection Change Form PDF.
- 2
Complete The Form
Fill in the municipality, applicant, owner if different, and project information; the form says it must be completed in its entirety.
- 3
Review The Certification
The form includes a municipal certification for signature and date.
- 4
Fax To BCUA
Fax the completed form to the Bergen County Utilities Authority at (201) 807-8640.
Frequently asked questions
- Who completes the Sewer Connection Change Form?
- Anyone seeking to connect to the sewer or change the operation of an existing connection must complete the form. It requests municipality, applicant, owner, and project information.
- How do I submit the Sewer Connection Change Form?
- Complete the form in its entirety and fax it to the Bergen County Utilities Authority at (201) 807-8640, as directed on the form.
- Do I need a notary for the Sewer Connection Change Form?
- No. The form has no notary block; the municipal representative signs and dates the certification, and no notarized attachment or sworn step is stated.