Macedon, NY · Wayne County
Water Service Application and Contract
Property owners or contractors use this application and contract to request water service from the Wayne County Water and Sewer Authority.
What this form is
The application requests water service and records the property owner, contractor, connection address, billing address, and phone numbers. It also asks about the building and connection so the Authority can determine whether a meter pit or backflow preventer may be required. The applicant selects a service or meter option, agrees to the stated service terms, and submits payment before work begins.
Who needs it
A property owner or contractor applying for a new water service or meter installation through the Wayne County Water and Sewer Authority needs this document.
How to submit it
Make the application and payment to the Wayne County Water and Sewer Authority, 3377 Daansen Road, Walworth, NY 14568. The document says payment is by check, cash, or money order only.
About notarization
This application is signed and dated without a notary; it identifies no sworn or notarized attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Water Service Application and Contract PDF.
- 2
Complete The Application
Provide the owner, contractor, connection, and billing details, answer the building questions, and select a service or meter option.
- 3
Gather Any Needed Information
Review the document's meter pit and backflow preventer questions to determine whether the Authority may require either.
- 4
Sign And Date
The property owner or contractor signs and dates the application; no notary is required.
- 5
Submit To The Authority
Send the application and payment to the Wayne County Water and Sewer Authority, 3377 Daansen Road, Walworth, NY 14568.
Frequently asked questions
- Do I need a notary for the Water Service Application and Contract?
- No. This application is signed and dated without a notary, and it identifies no sworn or notarized attachment.
- How do I submit the Water Service Application and Contract?
- Submit the signed application and payment to the Wayne County Water and Sewer Authority at 3377 Daansen Road, Walworth, NY 14568. Payment is by check, cash, or money order only.
- Who can sign the water service application?
- The document says the application must be made and signed by the property owner or the owner's contractor.
- What information does the application ask for?
- It asks for owner and contractor details, service and billing addresses, phone numbers, building and connection information, and the requested service or meter option.