Jay, NY · Essex County

No notary required

Application for Water Tap and/or Push

This application is for homeowners or contractors requesting a tap to the Town of Jay water main, a push, or both.

What this form is

The application requests a water-main tap, a push, or both, and collects the applicant’s name, site address, contact number, tax map number, and contractor information. Homeowners or contractors must contact the DPW Director within five business days of their desired date to schedule the work. The form also lists water-work policies and states that fees must be paid before work starts.

Who needs it

Homeowners or contractors requesting a tap to the Town of Jay water main, a push, or both need this application.

How to submit it

Contact the DPW Director within five business days of the desired work date to schedule a tap or push; the form lists the DPW office’s email, mailing address, and phone number.

About notarization

This application is signed without a notary; the document does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Jay Application for Water Tap and/or Push.

  2. 2

    Complete The Application

    Enter the applicant’s name, site address, contact number, tax map number, and contractor information.

  3. 3

    Gather Required Information

    Contractors must provide a copy of insurance before work is scheduled.

  4. 4

    Contact The DPW Director

    Contact the DPW Director within five business days of the desired date to schedule the tap or push.

Frequently asked questions

What is the Application for Water Tap and/or Push?
It is an application for homeowners or contractors requesting a tap to the Town of Jay water main, a push, or both. It asks for applicant, property, and contractor details.
Do I need a notary for the Application for Water Tap and/or Push?
No. This application is signed without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the water tap and push application?
Contact the DPW Director within five business days of your desired work date to schedule the work. The form lists the department’s email, mailing address, and phone number.
When must tap or push fees be paid?
The form says tap and push fees must be paid before any work starts. It also states that checks are payable to the Town of Jay.

Need something notarized?

This Application for Water Tap and/or Push doesn’t need a notary — but if you have another Jay form that does, a commissioned online notary can help.