Gaines, NY · Orleans County
Landlord Final Water Bill Request Form
Landlords use this form to request a final water bill, with the option to request complete water meter deactivation.
What this form is
This form lets a landlord request a final water bill after a final meter reading, either with service left on or with the water completely turned off. It asks for the account and service details, mailing addresses, phone numbers, request date, and landlord signature. The form notes that a $75 fee will be charged to restore service if water service is terminated.
Who needs it
A landlord requesting a final water bill for a property served by the Town of Gaines water system should complete this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This request is signed without a notary; the landlord completes the request date and signs the form.
How to submit this form
- 1
Download The Form
Download the Landlord Final Water Bill Request Form.
- 2
Complete Section A
Enter the request date, account and property details, contact information, and whether you want a final read only or service turned off.
- 3
Sign The Request
Print your name as landlord and sign the form.
- 4
Submit The Form
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Landlord Final Water Bill Request Form?
- No. The form has no notary block; the landlord completes the request date and signs it.
- How do I submit the Landlord Final Water Bill Request Form?
- Submit it to the city department named on the form; check the city website for current contact details.
- What can I request with this form?
- A landlord can request a final water bill after a final meter reading, either with service left on or with the water completely turned off.
- Is there a fee to restore water service?
- The form states that a $75.00 fee will be charged to restore service if water service is terminated.
Need something notarized?
This Landlord Final Water Bill Request Form doesn’t need a notary — but if you have another Gaines form that does, a commissioned online notary can help.