Rockland, NY · Sullivan County
Water/Sewer Tap Application
This application requests a water or sewer tap for a property in a Town of Rockland water or sewer district.
What this form is
Use this application to request a water or sewer tap in one of the Town of Rockland’s listed sewer and water districts. It asks for the district, owner and billing address, service address, building type, desired tap size, contractor details, and desired tap date. The applicant agrees to follow applicable town rules, maintain the connection, and notify the superintendent before work is covered.
Who needs it
Property owners seeking a water or sewer tap in a listed Town of Rockland district can complete the application, including contractor and service details.
How to submit it
The form lists the Town of Rockland Sewer and Water Districts at P.O. Box 303, Livingston Manor, New York 12758, and gives phone numbers 845-439-4910 and 845-439-4399 Ext. 103.
About notarization
This application is signed and dated without a notary; it mentions no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Water/Sewer Tap Application PDF.
- 2
Complete The Form
Provide the district, owner and service addresses, building type, tap size, contractor details, and desired tap date.
- 3
Call Before Digging
The form says you or your contractor must call Dig Safely New York at 811 or 800-962-7962 before digging begins.
- 4
Sign And Date
Sign and date the application, then submit it to the Town of Rockland Sewer and Water Districts at the address listed on the form.
Frequently asked questions
- What information does the Water/Sewer Tap Application ask for?
- It asks for the district, owner and billing address, service address, building type, desired tap size, contractor details, and desired tap date.
- Do I need a notary for the Water/Sewer Tap Application?
- No. This application has no notary block; the applicant signs and dates it. It mentions no notarized or sworn attachment.
- How do I submit the Water/Sewer Tap Application?
- The form lists the Town of Rockland Sewer and Water Districts at P.O. Box 303, Livingston Manor, New York 12758. It also gives phone numbers for the districts.
Need something notarized?
This Water/Sewer Tap Application doesn’t need a notary — but if you have another Rockland form that does, a commissioned online notary can help.