Urbanna, VA · Middlesex County
Water Service Agreement Property Owner
Property owners use this agreement to apply to the Town of Urbanna for water service and acknowledge the service terms and payment responsibilities.
What this form is
This agreement is for a property owner applying to the Town of Urbanna for water service. It asks for the applicant’s name, property and billing addresses, phone and email details, Social Security number, and effective date. By signing, the applicant agrees to Town service terms, charges, and conditions for possible discontinuation of service; the form also asks whether the applicant wants emergency notifications.
Who needs it
A property owner applying to the Town of Urbanna for water service should complete and sign this agreement.
How to submit it
The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175. It does not provide a specific submission method.
About notarization
This document is signed without a notary; it asks the applicant to sign and date the agreement and mentions no notarized or sworn attachment.
How to submit this form
- 1
Download The Agreement
Download the Town of Urbanna Water Service Agreement Property Owner PDF.
- 2
Complete The Agreement
Enter the requested applicant and property details, effective date, and emergency notification preference.
- 3
Check For Attachments
The agreement does not identify any attachments to gather.
- 4
Submit To The Town
The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175; it does not specify a submission method.
Frequently asked questions
- What is the Water Service Agreement for?
- Property owners use it to apply to the Town of Urbanna for water service and agree to the service terms, charges, and conditions described on the form.
- What information does the agreement request?
- It requests the applicant’s name, property and billing addresses, phone and email details, Social Security number, and effective date. It also asks whether the applicant wants emergency notifications.
- Do I need a notary for the Water Service Agreement?
- No. This document is signed and dated without a notary, and it mentions no notarized or sworn attachment.
- How do I submit the Water Service Agreement?
- The form lists the Town of Urbanna at Post Office Box 179, Urbanna, Virginia 23175, but does not specify a submission method.