Jamestown, PA · Mercer County

No notary required

Water/Sewer Service Application

Occupiers, tenants, and property owners use this application to request water and sewer service for a Jamestown property.

What this form is

This application requests water and sewer service by meter measurement for a property in Jamestown. It asks for the applicant’s contact information, occupancy or ownership status, property and mailing addresses, lease names, and occupancy start date. The form also includes fields for recording a $200 deposit and the legal name and signature of the applicant.

Who needs it

Occupiers, tenants, and property owners applying for water and sewer service at a Jamestown property need this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; it lists 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 Water/Sewer Service Application PDF.

  2. 2

    Complete The Form

    Provide the requested applicant, property, contact, and occupancy information.

  3. 3

    Review The Deposit Fields

    Complete the deposit information as applicable; the form includes a field for a $200 deposit.

  4. 4

    Sign And Date

    Print the legal name, sign, and provide the requested date.

  5. 5

    Submit The Application

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who uses the Water/Sewer Service Application?
Occupiers, tenants, and property owners use the application to request water and sewer service by meter measurement for a Jamestown property.
What information does the application ask for?
It asks for applicant and contact details, property and mailing addresses, lease names, occupancy start date, and the legal name and signature. It also has fields to record the deposit.
Do I need a notary for the Water/Sewer Service Application?
No. This application is signed and dated without a notary, and the form lists no notarized or sworn attachment.
How do I submit the Water/Sewer Service Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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