Middletown, VA · Frederick County

No notary required

Water & Sewer Application

Property owners or renters use this application to request water and/or sewer service from the Town of Middletown.

What this form is

The Town of Middletown requires this application from anyone seeking water and/or sewer service to a property. It asks for the service address, start date, applicant and co-applicant contact and employer details, and photo ID or driver’s license numbers; photocopies of IDs are required. Applicants agree to follow the Town’s conditions for water and sewer use, and must pay a $200 deposit when submitting the application.

Who needs it

Anyone applying to start water and/or sewer service for a property in Middletown must complete the application in its entirety.

How to submit it

Submit the completed application to the Town of Middletown, 7875 Church Street, Middletown, Virginia 22645. A $200 deposit is due with the application; payment is accepted by cash, check, or money order only.

About notarization

This application is signed and dated without a notary; include photocopies of the required photo IDs, and no sworn or notarized attachment is stated.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Middletown Water & Sewer Application.

  2. 2

    Complete The Application

    Fill in every section, including the service address, start date, applicant details, and signatures and dates.

  3. 3

    Gather Required ID Copies

    Include photocopies of the required photo IDs for the applicant and co-applicant.

  4. 4

    Submit To The Town

    Submit the application and $200 deposit to 7875 Church Street, Middletown, Virginia 22645. Pay by cash, check, or money order.

Frequently asked questions

Do I need a notary for the Water & Sewer Application?
No. The application calls for signatures and dates, not notarization. It does require photocopies of the applicant’s and co-applicant’s photo IDs.
How do I submit the Water & Sewer Application?
Submit the completed application to the Town of Middletown at 7875 Church Street, Middletown, Virginia 22645, with the $200 deposit. The form accepts cash, check, or money order only.
What information does the application ask for?
It asks for the service address and start date, applicant and co-applicant names and contact details, employer information, and photo ID or driver’s license numbers.
What attachments are required?
The application states that a photocopy of photo ID is required for the applicant and co-applicant.

Need something notarized?

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