Urbanna, VA · Middlesex County

No notary required

Water Service Agreement for Renters

Renters use this agreement to apply to the Town of Urbanna for water service and provide their contact, billing, and property information.

What this form is

Renters complete this agreement when applying to the Town of Urbanna for water service. It asks for applicant and property details, an effective date, and a signature, and describes service terms and listed security deposits. Renters must provide a Property Owner Authorization Form; the attached authorization includes tenant and owner information and a section for requesting a security deposit waiver with supporting documentation.

Who needs it

Renters applying for water service at a property in Urbanna need this agreement and must provide the Property Owner Authorization Form.

How to submit it

The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175. The owner authorization also lists the Town's address at 390 Virginia St., Suite B, Urbanna, VA 23175.

About notarization

This document is signed without a notary; the applicant and property owner sign and date it, and any security deposit waiver request requires supporting documentation.

How to submit this form

  1. 1

    Download the Agreement

    Download the Water Service Agreement for Renters and its Property Owner Authorization Form.

  2. 2

    Complete the Renter Section

    Enter your name, property and billing addresses, contact details, and effective date, then sign and date the agreement.

  3. 3

    Complete the Owner Authorization

    Provide the property and tenant information and have the property owner complete and sign the authorization.

  4. 4

    Gather Any Supporting Documentation

    Attach supporting documentation if the owner requests a security deposit waiver based on the tenant's rental assistance.

  5. 5

    Submit to the Town

    The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175.

Frequently asked questions

Do I need a notary for the Water Service Agreement for Renters?
No. The agreement has signature and date lines but no notary block. A security deposit waiver request requires supporting documentation.
How do I submit the Water Service Agreement for Renters?
The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175. It also lists 390 Virginia St., Suite B, as the Town's address.
What must renters provide with this agreement?
Renters must provide a Property Owner Authorization Form. If the owner requests a security deposit waiver because the tenant receives rental assistance, supporting documentation must be attached.
What information does the agreement ask for?
It asks for the renter's name, property and billing addresses, phone, email, effective date, and signature. The authorization form asks for tenant and property owner information and the owner's signature.

Need something notarized?

This Water Service Agreement for Renters doesn’t need a notary — but if you have another Urbanna form that does, a commissioned online notary can help.