Rock Island, WA · Douglas County
Water and Sewer Service Application
Rock Island residents use this application to request water and sewer service and provide contact, property, and occupancy information.
What this form is
This application requests water and sewer service in Rock Island. It asks for the applicant’s name, phone number, email, service and mailing addresses, occupancy date, and property owner information. The form states that a one-time $20 charge will appear on the first bill, with monthly billing for prior-month water use and a $10 late charge if payment is not received before the 20th.
Who needs it
Residents requesting water and sewer service in Rock Island should complete the application with their contact, service address, and property owner information.
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 application is signed and dated without a notary; it does not mention any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Water and Sewer Service Application PDF.
- 2
Complete The Application
Enter the requested contact, service address, occupancy, and property owner information.
- 3
Sign And Date
Sign and date the application; the form does not list attachments.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the water and sewer application request?
- It asks for contact details, service and mailing addresses, the occupancy date, and the property owner’s name and phone number.
- What charges does the application describe?
- The form states that a one-time $20 charge will appear on the first bill and that a $10 late charge applies if payment is not received before the 20th.
- Do I need a notary for the Water and Sewer Service Application?
- No. The application is signed and dated without a notary, and it does not mention any attachment or related step that must be notarized or sworn.
- How do I submit the Water and Sewer Service Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Water and Sewer Service Application doesn’t need a notary — but if you have another Rock Island form that does, a commissioned online notary can help.