Bennington, NY · Wyoming County

No notary required

New Water Service Application

The Town of Bennington application lets a property owner or other petitioner request new water service or transfer service and provide billing details.

What this form is

Use this application to petition the Town of Bennington for water service or a service transfer. It asks for the service location, petitioner and owner details, billing address, and whether the applicant owns the property. The petitioner agrees to water district rules and charges; an applicable contractor must provide a certificate of insurance, and the petitioner must contact the water superintendent before water line installation.

Who needs it

A property owner or other petitioner requesting new water service or a transfer in a Town of Bennington water district needs this application.

How to submit it

The form lists the Town of Bennington at 905 Old Allegheny Road, Attica, NY 14011, and phone (585) 591-2157. It says to contact the water superintendent before water line installation.

About notarization

This application is signed without a notary; the signer just signs and dates it, and an applicable contractor must provide a certificate of insurance.

How to submit this form

  1. 1

    Download The Application

    Download the New Water Service Application PDF.

  2. 2

    Complete The Application

    Enter the service location, petitioner and owner details, billing address, and whether the request is new service or a transfer.

  3. 3

    Gather Required Insurance Certificate

    If a contractor is applicable, provide the certificate of insurance described on the form.

  4. 4

    Submit And Contact The Superintendent

    Use the Town address listed on the form and contact the water superintendent before water line installation.

Frequently asked questions

What is the New Water Service Application for?
It lets a petitioner request water service or a transfer from the Town of Bennington and provide property, owner, and billing information.
Do I need a notary for the New Water Service Application?
No. The application is signed and dated without a notary. If a contractor is applicable, the form requires a certificate of insurance.
How do I submit the New Water Service Application?
The form lists the Town at 905 Old Allegheny Road, Attica, NY 14011. It also says to contact the water superintendent before water line installation.
What insurance does the application mention?
If a contractor is applicable, the form requires a certificate showing liability and workers' compensation coverage. For homeowner work, it specifies liability coverage and says to name the Town as an additional insured.

Need something notarized?

This New Water Service Application doesn’t need a notary — but if you have another Bennington form that does, a commissioned online notary can help.