Lehighton, PA · Carbon County
Emergency Contact Form
Lehighton Water Authority customers use this form to provide contact details for water-supply emergency notifications and other emergency alerts from the Borough.
What this form is
The Lehighton Water Authority uses this form to verify customer information for its Emergency Call System, which can notify customers about water-supply emergencies such as service interruptions and boil advisories. The Borough may also use the system for emergency notifications. Customers are asked to provide their name, address, account number, phone numbers, text-message permission, email, and, if renting, landlord information.
Who needs it
Lehighton Water Authority customers should complete the form so the authority can verify their information for emergency notifications.
How to submit it
Mail the completed form to Lehighton Water Authority, Municipal Building, P.O. Box 29, Lehighton, Pennsylvania 18235, or drop it off when paying your bill.
About notarization
This form is completed without a notary; it mentions no notarized attachment or sworn step and asks customers to provide contact information.
How to submit this form
- 1
Download the Form
Download the Lehighton Water Authority Emergency Contact Form.
- 2
Complete the Contact Details
Print legibly and provide your name, address, account number, phone numbers, text-message preference, and email.
- 3
Add Landlord Information If Renting
If you rent, provide your landlord’s name, address, and phone number; otherwise, leave that section blank.
- 4
Return the Form
Mail it to the authority’s Municipal Building P.O. Box 29 address or drop it off when paying your bill.
Frequently asked questions
- What is the Emergency Contact Form for?
- The Lehighton Water Authority uses it to verify customer information for emergency alerts about water-supply issues, and the Borough may also use the system for emergency notifications.
- Who should complete this form?
- Lehighton Water Authority customers are asked to provide their contact information. Renters can also provide their landlord’s name, address, and phone number.
- Do I need a notary for the Emergency Contact Form?
- No. The form requests contact information and mentions no notarized attachment or sworn step.
- How do I submit the Emergency Contact Form?
- Mail it to Lehighton Water Authority, Municipal Building, P.O. Box 29, Lehighton, Pennsylvania 18235, or drop it off when paying your bill.