Fairfield Township, MT · Cumberland County

No notary required

Water Shutoff Application

Applicants use this form to request a water shutoff from the Township of Fairfield Water Department and provide applicant and property information.

What this form is

The Water Shutoff Application is a request to the Township of Fairfield Water Department for a water shutoff. It records the applicant’s name, property address, tax map lot and block, and the date and check number for the listed $200 fee. The applicant agrees to follow Chapter 56 of the Township Code, and the form includes approval and signature fields.

Who needs it

Anyone applying for a water shutoff through the Township of Fairfield Water Department should complete this application.

How to submit it

Contact the Water Department at 973-882-2700 ext. 2034 at least 3 days before scheduling. The form lists a $200 fee.

About notarization

This application is signed and dated without a notary; it lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Water Shutoff Application PDF.

  2. 2

    Complete The Form

    Enter the applicant and property information, date, and check number, and sign the application.

  3. 3

    Contact The Water Department

    Contact the Water Department at 973-882-2700 ext. 2034 at least 3 days before scheduling.

Frequently asked questions

Do I need a notary for the Water Shutoff Application?
No. The application is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the Water Shutoff Application?
Contact the Fairfield Township Water Department at 973-882-2700 ext. 2034 at least 3 days before scheduling. The form lists a $200 fee.
What information does the application request?
It asks for the applicant’s name, property address, tax map lot and block, date, and check number. It also includes applicant and approval signature fields.

Need something notarized?

This Water Shutoff Application doesn’t need a notary — but if you have another Fairfield Township form that does, a commissioned online notary can help.