Wellston, OH · Jackson County
Release of Liability and Assumption of Risk to Reconnect Water Service
This agreement lets a Wellston property owner request water service reconnection without a responsible party and city representative present.
What this form is
The agreement allows the City of Wellston to reconnect water service without a responsible party for the property or a city representative present. The city requires the completed and signed agreement to be filed with its Water Department Clerk before agreeing to reconnect service under those conditions. It asks for the property owner’s information, property location, signature, signing date, and phone number.
Who needs it
A property owner requesting water service reconnection without a responsible party and city representative present needs to complete and file this agreement.
How to submit it
File the completed agreement with the City of Wellston’s Water Department Clerk at 203 E. Broadway, Wellston, Ohio 45692.
About notarization
This agreement is signed and dated without a notary; it lists no notarized or sworn attachment, so the property owner just signs and dates it.
How to submit this form
- 1
Download The Agreement
Download the water service reconnection release from this page.
- 2
Complete The Agreement
Enter the agreement date, property owner’s name, property location, phone number, and other requested information.
- 3
Sign And Date
The property owner signs and dates the agreement. No attachment is listed.
- 4
File With The Water Department Clerk
File the completed agreement with the City of Wellston’s Water Department Clerk at the address printed on the form.
Frequently asked questions
- Do I need a notary for the water reconnection liability release?
- No. The agreement calls for the property owner’s signature and date, and lists no notarized or sworn attachment.
- How do I submit the water reconnection liability release?
- File the completed agreement with the City of Wellston’s Water Department Clerk at 203 E. Broadway, Wellston, Ohio 45692.
- When does the city require this agreement?
- The city requires the completed and filed agreement before agreeing to reconnect water service without a responsible party for the property or a city representative present.
Need something notarized?
This Release of Liability and Assumption of Risk to Reconnect Water Service doesn’t need a notary — but if you have another Wellston form that does, a commissioned online notary can help.