Middletown, VA · Frederick County
Water & Sewer Application
Property owners or renters seeking Town of Middletown water or sewer service complete this application with service, contact, identification, and signature details.
What this form is
Applicants seeking water and/or sewer service for a property use this application to agree to the Town's conditions for its water supply and sewer treatment systems. The form requests the service address and start date, applicant and co-applicant contact and identification details, and signatures. It states that the application must be complete and that a $200 deposit is due when submitted.
Who needs it
Anyone applying to start Town of Middletown water or sewer service for a property should complete this application.
How to submit it
The form lists Town of Middletown, 7875 Church Street, Middletown, Virginia 22645. It states that the $200 deposit is due when submitted and is payable by cash, check, or money order.
About notarization
This application is signed and dated without a notary; it requires photocopies of photo identification, but lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Town of Middletown Water & Sewer Application PDF.
- 2
Complete The Application
Fill in the service and applicant details, and sign and date the application. The form states it must be completed in its entirety.
- 3
Gather Identification Copies
Include a photocopy of photo identification for the applicant and co-applicant, if applicable.
- 4
Submit The Application
Submit the application with the $200 deposit, payable by cash, check, or money order, to the Town of Middletown at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Water & Sewer Application?
- No. The application has signature and date fields but no notary block. It does require photocopies of the applicants' photo identification.
- How do I submit the Water & Sewer Application?
- The form lists Town of Middletown, 7875 Church Street, Middletown, Virginia 22645. It says the $200 deposit is due when the application is submitted.
- What information does the application ask for?
- It asks for the service address and start date, whether the applicant owns or rents, applicant and co-applicant contact and identification details, and signatures.
- How can I pay the service deposit?
- The application states that the $200 deposit is payable by cash, check, or money order when the application is submitted.