St. Armand, NY · Essex County

No notary required

Application for Water Shut Off

St. Armand property owners or their representatives use this application to request that the Town turn water service off or on at the curb stop.

What this form is

The Application for Water Shut Off lets a St. Armand property owner or authorized representative ask the Town to turn water service off or on at the curb stop on a specified date. It records the property and requested service, confirms the signer’s authority, and includes an agreement to hold the Town harmless for resulting problems or damage; an owner or representative must be present when service is turned on.

Who needs it

A St. Armand property owner or authorized representative who wants the Town to turn water service off or on at the curb stop needs this form.

How to submit it

Return the completed form to the St. Armand Water & Sewer Clerk, PO Box 338, Town Hall, 1702 NYS Route 3, Bloomindale NY 12913, or email it to [email protected].

About notarization

This document is signed and dated without a notary; it lists no notarized attachment or sworn step, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Water Shut Off PDF.

  2. 2

    Complete The Form

    Enter the date, property owner, property address, requested off-or-on service, requested date, and signer information.

  3. 3

    Check For Attachments

    The form does not list any attachments to gather.

  4. 4

    Sign And Submit

    Sign the application and return it to the Water & Sewer Clerk by mail or email using the contact details on the form.

Frequently asked questions

Do I need a notary for the Application for Water Shut Off?
No. This document is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the water shut-off application?
Return it to the St. Armand Water & Sewer Clerk at the address printed on the form, or email it to [email protected].
Who can request water service to be turned off or on?
The form says the requester must be the property owner or the owner’s representative and must have authority to request the service.
Does someone need to be present when water service is turned on?
Yes. The form states that the property owner or representative must be present when water is turned on.

Need something notarized?

This Application for Water Shut Off doesn’t need a notary — but if you have another St. Armand form that does, a commissioned online notary can help.