Jeromesville, OH · Ashland County
Application to Obtain Water and Wastewater Service
Applicants use this form to request water and wastewater service at a Jeromesville property and provide contact and billing details.
What this form is
This application is for requesting water and wastewater service at a Jeromesville service address. It asks for applicant, property owner, and property management contact information, service and mailing addresses, billing preference, and requested service date. The applicant and property owner sign statements about the accuracy of the information, payment responsibilities, and service policies.
Who needs it
An applicant requesting water and wastewater service for a Jeromesville property completes the form, and the property owner also signs it.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form lists Village Hall at 81 S. High Street, P.O. Box 83, Jeromesville, OH 44840.
About notarization
This application is signed and dated without a notary; it does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the water and wastewater service application PDF.
- 2
Complete The Form
Enter the requested applicant, service address, property owner, management, and billing information.
- 3
Sign And Date
The applicant and property owner sign and date their respective statements.
- 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 water and wastewater service application?
- No. The application has signature and date lines for the applicant and property owner, but no notary block or notarized attachment is identified.
- How do I submit the water and wastewater service application?
- Submit it to the city department named on the form; check the city website for current contact details. The form lists Village Hall at 81 S. High Street.
- What information does the application ask for?
- It requests applicant, property owner, and property management contact details, service and mailing addresses, billing preference, requested service date, and signatures.