Russia, OH · Shelby County
Water/Sewer Service Application
The Water/Sewer Service Application is for account holders requesting village water and sewer service and providing billing, occupant, and owner details.
What this form is
Use this application to request water and sewer service from the Village of Russia. It asks for the requested activation date and billing, occupant, and property owner contact information, then requires the account holder’s signature and date. The signer accepts responsibility for usage and monthly charges; the application also describes billing, late penalties, shutoff, and the deposit required for rental properties.
Who needs it
An account holder requesting Village of Russia water and sewer service should complete the application and provide billing, occupant, and owner information.
How to submit it
Complete the application and mail it to Village of Russia – Water Tap In fee, PO Box 361, Russia, Ohio 45363.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachments, so the account holder just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Village of Russia Water/Sewer Service Application PDF.
- 2
Complete The Application
Enter the requested activation date and billing, occupant, and owner details.
- 3
Sign And Date
The account holder signs and dates the application to accept responsibility for usage and monthly charges.
- 4
Mail The Application
Mail it to Village of Russia – Water Tap In fee, PO Box 361, Russia, Ohio 45363.
Frequently asked questions
- Who should complete the Water/Sewer Service Application?
- An account holder requesting water and sewer service from the Village of Russia should complete it with billing, occupant, and owner information.
- What information does the application request?
- It requests an activation date and contact details for billing, the occupant, and the property owner, along with the account holder’s signature and date.
- Do I need a notary for the Water/Sewer Service Application?
- No. This application is signed and dated without a notary, and it lists no notarized or sworn attachments.
- How do I submit the Water/Sewer Service Application?
- Complete the application and mail it to Village of Russia – Water Tap In fee, PO Box 361, Russia, Ohio 45363.