Autryville, NC · Sampson County
Application for Water Service
Autryville residents and businesses use this application to request water service and provide service address, contact, and account information.
What this form is
Use this application to request water service at a listed physical address and provide applicant contact and account details. Applicants identify residential or commercial service, choose emailed or mailed utility bills, answer questions about prior residence and plumbing readiness, and agree to follow service rules. The form also states the security deposit and garbage pickup terms.
Who needs it
A resident or business seeking water service at an Autryville address should complete this application and provide the requested account information.
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 application is signed without a notary; the applicant completes the date field and signs the form.
How to submit this form
- 1
Download The Application
Download the Application for Water Service PDF.
- 2
Complete The Form
Enter the date, applicant and address details, contact information, service choices, and requested account information.
- 3
Gather Required Items
The form says picture identification is needed and states that a $100 security deposit is required before water is turned on.
- 4
Submit To The City
Submit it 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 Application for Water Service?
- No. This application is signed without a notary; the applicant completes the date field and signs the form.
- How do I submit the water service application?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It asks for the applicant’s name, mailing and service addresses, phone, email, service type, billing preference, and other account details.
- What does the form say about the security deposit?
- The application states that a $100 security deposit is required before water is turned on.