Middletown, VA · Frederick County
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
Download The Application
Download the Town of Middletown Water & Sewer Application.
- 2
Complete The Application
Fill in every section, including the service address, start date, applicant details, and signatures and dates.
- 3
Gather Required ID Copies
Include photocopies of the required photo IDs for the applicant and co-applicant.
- 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.
