Dannemora, NY · Clinton County

No notary required

Water Service Request Form

Property owners or their authorized representatives use this form to request a water service turn-on or shut-off in the Village of Dannemora.

What this form is

Use this form to request activation or termination of water service at a Village of Dannemora property. The request asks for the owner’s name, service address, contact information, requested service change, appointment details, and signature. The form states that owners or authorized representatives must be present for service changes; turn-ons require Code Enforcement onsite, and shut-offs require at least 24 hours’ notice except in emergencies.

Who needs it

A property owner or authorized representative requesting a water service turn-on or shut-off in the Village of Dannemora needs this form.

How to submit it

Contact the Village of Dannemora office at 518-492-7000 to schedule a turn-on or shut-off; provide the requested owner, service, and appointment details.

About notarization

This request is signed and dated without a notary; the form lists no notarized attachment or sworn step, so the owner or authorized representative just signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Water Service Request Form for the Village of Dannemora.

  2. 2

    Complete the Request

    Enter the owner and service details, select turn-on or shut-off, provide appointment information, and sign and date the form.

  3. 3

    Gather Required Documents

    Provide proof of ownership if it is not already on file. An authorized representative must provide written owner authorization and proof of identity.

  4. 4

    Contact the Village

    Call the Village of Dannemora office at 518-492-7000 to schedule the requested turn-on or shut-off.

Frequently asked questions

Do I need a notary for the Water Service Request Form?
No. This request is signed and dated without a notary, and the form lists no notarized attachment or sworn step.
How do I submit a Water Service Request Form?
Contact the Village of Dannemora office at 518-492-7000 to schedule a turn-on or shut-off. The form requests owner, service, and appointment details.
Who can request a water service change?
Only a property owner or an authorized representative may request a water service activation or termination. Tenants are not permitted to make the request.
What is required for a water service turn-on?
Code Enforcement must be onsite, and the owner or authorized representative must be physically present during the turn-on appointment.

Need something notarized?

This Water Service Request Form doesn’t need a notary — but if you have another Dannemora form that does, a commissioned online notary can help.