What information does the application request?

It requests customer and property details, phone numbers, mailing and additional contact information, text-alert consent, and deposit and final-bill details.

Do I need a notary for this application?

No. This application is signed and dated without a notary, and it identifies no notarized attachment or sworn related step.

Clintwood, VA · Dickenson County

No notary required

Application for Water, Sewer, and Garbage Service

Owners and renters use this application to request water service or water, sewer, and garbage service at a property in Clintwood.

What this form is

This application requests water service or water, sewer, and garbage service from the Town of Clintwood. The form says the requested information is required before service can be turned on, and asks for customer and property details, contact information, consent for account alerts by text, and details about deposits and final bills.

Who needs it

Owners and renters requesting water service or water, sewer, and garbage service at a property in Clintwood need to complete this application.

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 identifies no notarized attachment or sworn related step.

How to submit this form

1
Download the Application
Download the water, sewer, and garbage service application.
2
Complete the Application
Enter the requested customer, property, contact, and account information.
3
Review and Sign
Review the application, then sign and date it.
4
Submit to the Town
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What services can I request with this application?: Owners and renters can request water service or water, sewer, and garbage service for a property in Clintwood.
What information does the application request?: It requests customer and property details, phone numbers, mailing and additional contact information, text-alert consent, and deposit and final-bill details.
Do I need a notary for this application?: No. This application is signed and dated without a notary, and it identifies no notarized attachment or sworn related step.
How do I submit this application?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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