Urbanna, VA · Middlesex County
Water Service Agreement Renters
Renters use this agreement to apply for Town of Urbanna water service and provide tenant, property, billing, and contact information.
What this form is
Renters complete this agreement to apply for water service at a property in Urbanna and accept the Town’s service terms and charges. The document requests tenant, property, billing, and contact details, and includes a property owner authorization form. Renters must provide that authorization form; applicants seeking a security deposit waiver based on rental assistance must attach supporting documentation.
Who needs it
Renters applying for water service in Urbanna need this agreement and must provide the property owner authorization form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the tenant and property owner sign and date their sections, and rental-assistance documentation must be attached when seeking a deposit waiver.
How to submit this form
- 1
Download The Agreement
Download the Water Service Agreement Renters and its property owner authorization section.
- 2
Complete The Renter Section
Fill in the requested tenant, property, mailing, contact, and effective-date information.
- 3
Gather Required Attachments
Provide the property owner authorization form. Attach supporting documentation if seeking a security deposit waiver for rental assistance.
- 4
Sign And Submit
Sign and date the applicable sections, then submit the agreement to the city department named on the form.
Frequently asked questions
- Who uses the Water Service Agreement Renters?
- Renters applying for Town of Urbanna water service use this agreement. The form also includes a property owner authorization section that must be provided.
- Do I need a notary for the Water Service Agreement?
- No. The tenant and property owner sign and date their sections without a notary. If requesting a security deposit waiver based on rental assistance, attach supporting documentation.
- How do I submit the Water Service Agreement?
- Submit it to the city department named on the form; check the city website for current contact details.
- What does the renter need to provide?
- Renters must provide the property owner authorization form. The agreement asks for tenant, property, mailing, phone, email, and effective-date information.