Rock Island, WA · Douglas County
Solicitud Para Abrir O Cerrar El Agua (Cuenta Existente)
This application lets an existing water-account holder request that water service be turned on, left on, or shut off in Rock Island.
What this form is
Use this form to request a change to water service for an existing account. It asks for the applicant’s name, account name, service and billing addresses, phone number, requested change, and effective date. It also has spaces for a signature, date, meter reading, account number, and billing start and end dates.
Who needs it
A person requesting to turn water on, leave it on, or shut it off for an existing Rock Island water account should complete this form.
How to submit it
The form lists City of Rock Island at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850, and [email protected]. It does not specify a submission method.
About notarization
This document is signed without a notary; it asks the applicant to sign and date the request and lists no notarized or sworn attachment.
How to submit this form
- 1
Download The Form
Download the existing water account service request PDF.
- 2
Complete The Request
Provide the requested applicant, account, service, and billing information, and mark the water service change.
- 3
Sign And Date
Sign and date the form. It lists no attachment requirement.
- 4
Send It To The City
Use the City of Rock Island address or email listed on the form; the form does not specify a submission method.
Frequently asked questions
- What does this Rock Island water application request?
- It lets someone request that water service for an existing account be turned on, left on, or shut off. The form also records account and service details.
- Who should complete the existing-account water request?
- Complete it when requesting a change to water service for an existing account. The form asks for the applicant’s information, account name, service address, and requested change.
- Do I need a notary for the existing-account water request?
- No. This document asks the applicant to sign and date the request; it does not list a notarized or sworn attachment.
- How do I submit the water service request?
- The form lists City of Rock Island at 5 N. Garden Avenue, P.O. Box 99, Rock Island, WA 98850, and [email protected]. It does not specify how to submit it.
Need something notarized?
This Solicitud Para Abrir O Cerrar El Agua (Cuenta Existente) doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.