Appalachia, VA · Wise County
Water/Sewer Customer New Transfer Information
This form collects customer and service details for a water or sewer account transfer in Appalachia and is completed by the person requesting service.
What this form is
Use this form to request a water or sewer customer transfer and provide the service and mailing addresses, contact numbers, identification details, and payment type. New customers must provide a copy of their rental agreement or lease and a valid photo ID; customers in Exeter, Derby, or Imboden must also follow the listed PSA sewer hookup requirements. The form includes agreements and acknowledgments that require signatures and dates.
Who needs it
People requesting a water or sewer customer transfer in Appalachia should complete this form and provide the listed identification and, for new customers, lease documentation.
How to submit it
Take the completed form and required documents to the Town of Appalachia at 508 West Main Street, Appalachia, VA 24216; the document says water payments can be made in the office.
About notarization
This document does not require a notary; the customer signs and dates the agreement and water cutoff policy acknowledgment.
How to submit this form
- 1
Download The Form
Download the Water/Sewer Customer New Transfer Information form for Appalachia.
- 2
Complete The Customer Details
Enter customer names, service and mailing addresses, at least one working telephone number, identification details, and payment type.
- 3
Gather Required Documents
If you are a new customer, bring a copy of your rental agreement or lease and a valid photo ID.
- 4
Sign And Submit
Sign and date the agreement and policy acknowledgment, then take the form and required documents to the Town of Appalachia.
Frequently asked questions
- Do I need a notary for the Water/Sewer Customer New Transfer Information form?
- No. The form has no notary block; customers sign and date the agreement and water cutoff policy acknowledgment.
- How do I submit the water/sewer transfer form?
- Take the completed form to the Town of Appalachia at 508 West Main Street, Appalachia, VA 24216, with any required documents.
- What documents do new customers need?
- The form says new customers must provide a copy of their rental agreement or lease and a valid photo ID before water can be turned on.
- What information does the transfer form request?
- It asks for customer names, service and mailing addresses, at least one working phone number, identification details, date of birth, and payment type.