Smithville, OH · Wayne County

No notary required

Application for Water and Sewer Service

Residents applying for water and sewer service complete this application with account, contact, employer, and occupancy details and agree to pay utility bills when due.

What this form is

Use this application to request water and sewer service from the Village of Smithville. It asks for the applicant’s and spouse’s information, service and mailing addresses, contact details, employer information, and whether the applicant is a tenant or owner. The form states that a $150 deposit is required for processing and includes an agreement to pay bills when due and follow the Board of Public Affairs’ rules.

Who needs it

A person requesting Village of Smithville water and sewer service should complete the application, including whether they are an owner or tenant.

How to submit it

The form lists the Village of Smithville Utilities Department at 207 W. Main Street, PO 517, Smithville, OH 44677, but does not explicitly state where to submit the application.

About notarization

This application is signed and dated without a notary; it mentions no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Application for Water and Sewer Service PDF.

  2. 2

    Complete the Form

    Enter the requested applicant, spouse, address, contact, employer, and occupancy details.

  3. 3

    Gather Identification

    The office-use section says to attach a copy of identification.

  4. 4

    Contact the Utilities Department

    The form lists the Utilities Department at 207 W. Main Street, PO 517, Smithville, OH 44677; it does not explicitly give submission instructions.

Frequently asked questions

Who uses the Smithville water and sewer service application?
People applying for Village of Smithville water and sewer service use the form to provide personal, contact, employer, address, and occupancy information.
What deposit does the application require?
The application states that a $150 deposit is required for it to be processed.
Do I need a notary for the water and sewer service application?
No. The application has a signature and date line but no notary block. It mentions no notarized or sworn attachment; the signer just signs and dates it.
How do I submit the water and sewer service application?
The form lists the Village of Smithville Utilities Department at 207 W. Main Street, PO 517, Smithville, OH 44677, but does not explicitly say where to submit it.

Need something notarized?

This Application for Water and Sewer Service doesn’t need a notary — but if you have another Smithville form that does, a commissioned online notary can help.