Lyons, OH · Fulton County
Water Service Line Inventory Form
Lyons water customers use this form to report self-test results and identify the material of their private water service line.
What this form is
Lyons asks water customers to test their private water service line and report its material using this inventory form. The document says to submit the completed form by May 20, 2024, and asks for contact and property information, test results, and an applicant signature. A printed photo of the line is required with the paper form.
Who needs it
Lyons water customers testing their private service line should complete and submit the form with a photo if filing the paper version.
How to submit it
Submit online through the QR code, email the form and photo to [email protected], or mail or drop them off at the Village of Lyons, 126 West Morenci Street, Lyons, OH 43533.
About notarization
This document is signed and dated without a notary; it asks the applicant to acknowledge the information is true and correct, but no sworn attachment is specified.
How to submit this form
- 1
Download the Form
Download the Water Service Line Inventory Form.
- 2
Test and Complete the Form
Use the visual inspection, magnet test, and scratch test instructions, then fill in the applicant, property, and test result information.
- 3
Gather the Photo
For a paper submission, include a printed photo clearly showing the service line where it comes out of the wall or floor.
- 4
Submit to the Village
Submit online through the QR code, email, mail, or drop off the form and any required photo at the Village of Lyons.
Frequently asked questions
- Do I need a notary for the Water Service Line Inventory Form?
- No. The form has an applicant signature and date line but no notary block; the applicant signs and dates it.
- How do I submit the Water Service Line Inventory Form?
- Submit online through the QR code, email it to [email protected], or mail or drop it off at the Village of Lyons at 126 West Morenci Street, Lyons, OH 43533.
- What information does the form ask for?
- It asks for applicant contact and property information, visual inspection, magnet and scratch test results, the believed service line material, and an applicant signature and date.
- Do I need to include a photo?
- The form says a printed photo clearly showing the private water service line where it comes out of the wall or floor is required with a paper submission.