What information does the form request?

It requests applicant and property owner details, project address and description, and project use information. It also has sections for PVSC personnel and officials.

Do I need a notary for the PVSC Municipal Referral Form?

No. This form is signed and dated by the applicant without a notary, and it does not identify a notarized attachment or related step.

Newark, MT · Essex County

No notary required

PVSC Municipal Referral Form

The PVSC Municipal Referral Form is for applicants seeking a new sewer connection or a change to the operation of an existing connection.

What this form is

Anyone seeking to connect to a sewer or change the operation of an existing connection must complete this form. It gathers applicant and property owner contact details, project location and description, and information about the project’s use and proposed changes. The form also includes spaces for PVSC personnel and officials to record referral and review information.

Who needs it

Anyone seeking a sewer connection or a change in the operation of an existing connection must complete the form.

How to submit it

Complete the form and fax it to PVSC at (973) 466-2712 at the close of each business day. For help, contact the Connections Unit at (973) 817-5706.

About notarization

This document is signed without a notary; the applicant signs and dates the form, and it does not identify a notarized attachment or related step.

How to submit this form

1
Download The Form
Download the PVSC Municipal Referral Form PDF.
2
Complete The Form
Fill in the applicant, property owner, and project information, and sign and date the form.
3
Fax The Form To PVSC
Fax the completed form to PVSC at (973) 466-2712 at the close of each business day.

Frequently asked questions

Who needs to complete the PVSC Municipal Referral Form?: Anyone seeking to connect to a sewer or change the operation of an existing connection must complete the form.
What information does the form request?: It requests applicant and property owner details, project address and description, and project use information. It also has sections for PVSC personnel and officials.
How do I submit the PVSC Municipal Referral Form?: The form says to fax the completed form to PVSC at (973) 466-2712 at the close of each business day. For help, contact the Connections Unit at (973) 817-5706.
Do I need a notary for the PVSC Municipal Referral Form?: No. This form is signed and dated by the applicant without a notary, and it does not identify a notarized attachment or related step.

Need something notarized?

This PVSC Municipal Referral Form doesn’t need a notary — but if you have another Newark form that does, a commissioned online notary can help.